化痰消瘀法联合常规西药治疗冠心病心绞痛临床观察
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R541.4

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Clinical Observation of Phlegm-resolving and Stasis-eliminating Method Combined with Routine Western Medicine for Angina Pectoris of Coronary Heart Disease
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    摘要:

    目的:观察化痰消瘀法联合常规西药治疗冠心病心绞痛的临床疗效。方法:纳入528例冠心病心绞痛患者,按照随机数字表法分为对照组和观察组各264例。观察组采用常规西药加化痰活血法治疗,对照组单纯使用常规西药治疗。治疗后比较2组临床疗效,观察患者临床症状、心绞痛发作次数、心绞痛持续时间及心电图指标的改善情况。结果:观察组治疗总有效率85.94%,对照组治疗总有效率66.02%,2组比较,差异有统计学意义(P<0.01)。治疗后,2组心绞痛发作次数均较治疗前减少(P<0.05),心绞痛发作时间均较治疗前缩短(P<0.05);观察组心绞痛发作次数少于对照组(P<0.05),心绞痛发作时间短于对照组(P<0.05)。治疗后,2组胸痛、胸闷、气短、心悸评分均较治疗前降低(P<0.05);观察组4项症状评分均低于对照组(P<0.05)。治疗后,2组ST段下移导联数、T波低平导联数及T波倒置导联数均较治疗前降低(P<0.05);观察组ST段下移导联数、T波低平导联数及T波倒置导联数下降均较对照组更明显(P<0.05)。结论:化痰消瘀法联合常规西药治疗冠心病心绞痛,能有效改善患者的心绞痛症状,减少发作时间,效果优于单纯使用西药治疗。

    Abstract:

    Objective:To observe the clinical effect of phlegm-resolving and stasis-eliminating method combined with routine western medicine for angina pectoris of coronary heart disease.Methods:Selected 528 cases of patients with angina pectoris of coronary heart disease,and divided them into the control group and the observation group according to the random number table method,264 cases in each group.The observation group was given routine western medicine and additional phlegm-resolving and blood-activating method for treatment,while the control group was simply given routine western medicine for treatment.After treatment,compared clinical effect in the two groups,observed the improvement of clinical symptoms,frequency of angina pectoris, duration of angina pectoris and electrocardiogram indexes of patients.Results:The total effective rate was 85.94%in the observation group and was 66.02%in the control group,the difference being significant(P < 0.01).After treatment,frequency of angina pectoris in both groups was both decreased when compared with that before treatment(P<0.01).Onset time of angina pectoris in both groups was shorter than that before treatment(P<0.01).Frequency of angina pectoris in the observation group was less than that in the control group(P<0.01)and onset time of angina pectoris was shorter than that in the control group(P < 0.01).After treatment,scores of chest pain,chest distress,shortness of breath and palpitation in two groups were decreased when compared with those before treatment(P<0.01).The four symptom scores above in the observation group were lower than those in the control group(P<0.01).After treatment,the lead numbers of ST segment depression,T-wave flat lowering and T-wave inversion were decreased when compared with those before treatment(P<0.01).The lead numbers of ST segment depression,T-wave flat lowering and T-wave inversion in the observation group were decreased more obviously when compared with those in the control group(P<0.01).Conclusion:The therapy of phlegm-resolving and stasis-eliminating method combined with routine western medicine for angina pectoris of coronary heart disease can effectively improve symptoms of angina pectoris of patients and reduce the actuation time,which is superior to simple treatment of western medicine.

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张华丽,孙涛.化痰消瘀法联合常规西药治疗冠心病心绞痛临床观察[J].新中医,2018,50(3):50-53

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  • 在线发布日期: 2018-03-04
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