Study on the Therapeutic Value of Shexiang Tongxin Dropping Pills in Patients with Stable Angina Pectoris of Coronary Heart Disease Complicated with Cognitive Impairment.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-02-01
Jiajia Cui, Quanjun Pu
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Abstract

Background: There is a pressing need to identify pharmaceuticals that are both safe and efficacious, with lower toxicity, for the treatment of stable angina pectoris in individuals suffering from coronary heart disease. The aim of this paper is to explore the therapeutic value of Shexiang Tongxin Dropping Pills in patients with stable angina pectoris of coronary heart disease complicated with cognitive impairment.

Methods: 200 patients with stable angina pectoris combined with cognitive dysfunction and coronary heart disease admitted to our hospital from January 2022 to June 2023 were retrospectively selected as the study objects. According to the treatment method, the subjects were divided into a control group and a study group, with 100 cases in each group. The control group received conventional oral Western medicine, and the study group underwent treatment with Shexiang Tongxin Dropping Pills in addition to traditional Western medicine. The course of treatment was eight weeks. The enhancement in angina pectoris, cognitive function level, self-care ability, and clinical efficacy of both groups were assessed by comparing the conditions before and after the treatment.

Results: After treatment, the frequency and duration of angina pectoris attacks in both groups were significantly lower than before, and the study group was lower than the control group (p < 0.05). The Montreal Cognitive Assessment (MoCA) score of both groups was higher than before, and the score of the study group was significantly higher than that of the control group (p < 0.05). Neuropsychiatric Inventory (NPI) scores in both groups were significantly lower than before, and the scores of the study group were significantly lower than those of the control group (p < 0.05). Traditional Chinese Medicine (TCM) syndrome scores in both groups were significantly lower than before, and the scores of the study group were significantly lower than those of the control group (p < 0.05). After treatment, the total effective rate of the control group and the study group was 81.00% and 93.00%, respectively, and the total clinical effective rate of the study group was significantly higher than that of the control group (p < 0.05).

Conclusion: Shexiang Tongxin Dropping Pills can effectively reduce the incidence of angina pectoris in patients with stable angina pectoris complicated with coronary heart disease and cognitive dysfunction. It can also regulate the patient's neurological function, improve their cognitive level, and significantly improve clinical efficacy.

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射香通心滴丸对冠心病稳定型心绞痛并发认知障碍患者的治疗价值研究
背景:冠心病稳定型心绞痛的治疗迫切需要安全有效、毒性较低的药物。方法:回顾性选取我院2022年1月至2023年6月收治的200例冠心病稳定型心绞痛合并认知功能障碍患者作为研究对象。根据治疗方法将研究对象分为对照组和研究组,每组各100例。对照组接受常规口服西药治疗,研究组在传统西药治疗的基础上使用 "歙县通心滴丸 "进行治疗。疗程为八周。通过比较治疗前后的情况,评估两组患者心绞痛、认知功能水平、自理能力和临床疗效的改善情况:治疗后,两组心绞痛发作频率和持续时间均明显低于治疗前,研究组低于对照组(P < 0.05)。两组患者的蒙特利尔认知评估(MoCA)得分均高于治疗前,研究组明显高于对照组(P < 0.05)。两组患者的神经精神量表(Neuropsychiatric Inventory,NPI)评分均明显低于治疗前,研究组的评分明显低于对照组(P<0.05)。两组患者的中医证候评分均明显低于治疗前,研究组明显低于对照组(P<0.05)。治疗后,对照组和研究组的总有效率分别为81.00%和93.00%,研究组的临床总有效率明显高于对照组(P<0.05):结论:对于冠心病合并认知功能障碍的稳定型心绞痛患者,"十味通心滴丸 "能有效降低心绞痛的发生率,同时还能调节患者的心率。同时还能调节患者的神经功能,改善其认知水平,显著提高临床疗效。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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