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Effect of Alprostadil Combined with Aspirin on Vascular Endothelial Function in Coronary Slow Blood flow in Elderly Patients with Angina Pectoris |
HASIgaowa, Wujisiguleng, Liu Donghua |
Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Hohhot 010059, China |
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Abstract Objective: To study the effect of alprostadil combined with aspirin on vascular endothelial function in coronary slow blood flow in elderly patients with angina pectoris. Methods: 115 patients with coronary slow flow angina admitted to our hospital from January 2015 to October 2018 were randomly divided into observation group (60 cases) and control group (55 cases). On the basis of routine treatment, the control group was given aspirin treatment, and observation group was treated with Alprostadil for 3 consecutive months. The total effective rate of the observation group was significantly higher than that of the control group (P<0.05). No, ET-1, FMD, the number and duration of angina pectoris attack per day, the number of corrected tmit blood flow frames were statistically significant (P>0.05). Results: After treatment, the total effective rate in the observation group was significantly higher than that of the control group (P<0.05). There were significant differences in serum nitric oxide (NO), endothelin-1 (ET-1), Endothelial Dependent Vasodilation Function (FMD), the number and duration of angina pectoris daily attacks and Corrected TMIT Blood Flow Frames between the two groups at interblock, different time points (P<0.05), and they all have interaction (P<0.05). There was no significant difference in the total incidence of adverse reactions between the two groups (P>0.05). Conclusion: Alprostadil combined with aspirin has a significant effect in the treatment of elderly patients with coronary slow flow angina, which can effectively improve the endothelial function, promote the recovery of coronary blood flow, relieve clinical symptoms, and has a high clinical application value.
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