目的: 探讨注射用丹参多酚酸盐治疗高龄冠心病心绞痛病人的临床疗效观察及其对血脂、B 型钠尿
肽( Brain natriuretic，BNP) 、C 型反应性蛋白( C－reactive protein，CRP) 的影响。方法: 选取2016－01 ～ 2016－08 期
间于内蒙古自治区人民医院干部保健所住院的高龄冠心病心绞痛病人64 例，按随机原则分为治疗组( 37 例) 和
对照组( 25 例) 。对照组给予常规抗心肌缺血治疗，治疗组给予注射用丹参多酚酸盐联合常规药物治疗。观察
2wk 后两组病人的心绞痛症状、心电图、血脂、BNP、CRP 的改善情况。结果: 两组病人的心绞痛症状、心电图、血
脂、BNP、CRP 均比治疗前改善明显，差异均有统计学意义( P＜0．05) ; 治疗后高密度脂蛋白( high density lipoproteins，
HDL) 、左室射血分数( left vertricular ejection fraction，LVEF) 水平均较治疗前有明显升高，差异均有统计学
意义( P＜0．05) ; 治疗组治疗后甘油三酯( Triglyceride，TG) 、后清总胆固醇( serum total cholesterd，TC) 、低密度脂蛋
白( low density lipoprotein，LDL) 、C 型反应性蛋白( C－reactive protein，CRP) 、BNP 水平较对照组下降更明显( P＜
0．05) ，治疗组治疗后HDL、LVEF 水平较对照组升高更明显( P＜0．05) 。结论: 注射用丹参多酚酸盐能显著提高
高龄冠心病心绞痛病人的临床疗效及改善BNP、CRP、血脂水平。

Objective: To investigative the influence of salvianolate on curative effect，BNP，CRP，
blood fat in elderly patients with angina pectoris．Methods: Sixty－four elderly patients with angina pectoris
above 80 years old treated in Geriatrics Department from The Inner Mongolia Autonomous Region
People’s Hospital were collected in the study．The subjects were divided into the treatment group and
the control group．The treatment group were treated with normal treatment of myocardial ischemia and
the control group were teeated with extra salvianolate and normal treatment of myocardial ischemia．After
two weeks as a treatment course，observe the changes in clinical manifestations，ECG，TG，TC，HDL，
LDL，CRP，BNP，LVEF． Then compare these index between the two different groups． Results: Two
groups of patients with symptoms of angina pectoris，electrocardiogram，blood lipids，BNP and CRP
were compared with those before treatment significantly improved， the differences were statistically significant(
P＜ 0．05) ; HDL after treatment，compared with before treatment， the level of LVEF has increased
significantly， the differences were statistically significant( P＜ 0．05) ; Treatment after TG，TC，
LDL，CRP，BNP levels compared with the control group decreased significantly( P＜0．05) ，HDL after
treatment in treatment group， the level of LVEF compared with the control group increased more significantly(
P＜ 0．05) ．Conclusion: Salvianolatehas a good curative effect on elderly patients with angina
pectoris and regulating blood fat，BNP，CRP，LVEF．

R541．4

 收稿日期: 2017－03－05; 修回日期: 2017－08－19
基金项目: 国家自然科学基金( 81460223) ; 内蒙古自治区自然科学基金( 2016MS0869) ; 内蒙古自治区卫生和计划生育
委员会医疗卫生科研计划项目( 201301006) ; 内蒙古自治区科技计划项目基金( 2017)
作者简介: 牟世伟( 1961－) ，男，内蒙古医科大学附属医院普外科主任医师。
通讯作者: 高金娥，主任医师，硕士研究生导师，E－mail: 15248026395@ 163．com 内蒙古自治区人民医院， 010017