控制不稳定型心绞痛的药物有哪些 马晓昌 中国中医科学院西苑医院
Автор: 健康中国之名医在线3
Загружено: 2020-07-29
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控制不稳定型心绞痛的药物有哪些 马晓昌 中国中医科学院西苑医院
临床上对于不稳定性心绞痛的治疗和稳定性心绞痛,药物的基础治疗是没有区别的,实际上就是稳定性心绞痛的治疗,最基础的用药也是抗血小板,包括稳定斑块,他汀类的降脂药物的应用等,不稳定性心绞痛也一样是在这些药物的基础上应用硝酸酯类的药物,对冠心病不稳定型心绞痛或者是稳定型心绞痛预后有改善的药物还包括血管紧张素,比如ACEI类的药物,卡托普利、福辛普利等,冠心病不稳定心绞痛的患者也可以用ARB类的药物,当然在不稳定型心绞痛的患者当中,稳定血小板的功能降低血小板的活性是非常重要的,所以阿司匹林或者氯比格雷这些抗血小板活性增加的药物是必须要求患者坚持服用的,另外就是他汀类的药物不管是稳定性心绞痛也好,还是不稳定性心绞痛也好,他汀类的药物只要耐受还是鼓励患者坚持服用的。
What are the drugs for controlling unstable angina
Clinical treatment of unstable angina and stable angina, There is no difference in the basic treatment of drugs, It's actually the treatment of stable angina, The most basic drug is antiplatelet, Including stable plaque, The application of statins in lipid-lowering drugs, etc, Unstable angina is also based on the use of nitrates, The drugs that can improve the prognosis of unstable angina or stable angina also include Angiotension, For example, ACEI drugs, Captopril, fosinopril, etc, Patients with unstable angina can also use ARB drugs, Of course, in patients with unstable angina, It is very important to stabilize platelet function and reduce platelet activity, So aspirin or clopidogrel, which are antiplatelet drugs, must be taken consistently, In addition, statins, whether it's stable angina or not, Or unstable angina, As long as statins are tolerated, patients are encouraged to take them.
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