通冠散贴敷结合西药治疗老年胸痹心痛的疗效观察.pdfVIP

光明中医2014年2月第29卷第2期 CJGMCM Februa~2014．Vol29．2 ·339 · 【中西医结合 】 通冠散贴敷结合西药治疗老年胸痹心痛的疗效观察 辛天庚 摘要：目的 观察通冠散贴敷结合常规西药治疗老年胸痹心痛痰阻心脉型的临床疗效。方法 选择冠心病稳定型心绞痛患者 92人，将其随机分为对照组46例与治疗组46例。对照组单纯给予西药常规抗血小板聚集、调血脂、扩张血管、防止心室重构等药 治疗，治疗组给予通冠散贴敷结合常规西药治疗，15天为一疗程，治疗2个疗程后观察两组患者心绞痛疗效和中医证候疗效的变 化。结果 治疗组患者心绞痛疗效、中医证候疗效均优于对照组(P0．05)。结论 通冠散贴敷结合常规西药治疗老年胸痹心痛 痰阻心脉型的疗效较单纯应用西药治疗的疗效优越。 关键词：老年胸痹心痛；痰阻心脉；通冠散贴敷；疗效观察 doi：10．3969／j．issn．1003—8914．2014．02．071 文章编号：1003—8914(2014)一02—0339-03 Observationon CurativeEffectsofTongGuansanApplicationCombinedwith W esternM edicine in Treatmentwith ElderlyObstruction ofHeartache XinTiangeng (LiaoningUniversityofTraditionalChineseMedicine，Shenyang110032) Abstract：Objective ToobserveclinicalcurativeeffectsonGuanSantongapplicationcombinedwithconventionalwesternmedicinein treatmentwithsenileobstructionofheartachejunctionofphlegm andbloodstasis．Methods 92patientswithstableanginapectoriswere randomly divided into controlgroup and treatmentgroup． Controlgroup was given conventionalwestern medicine like anti—platelet aggregation，lipids，dilateblood vesselsandpreventingventricularremodeling．ThetreatmentgroupwasgivenGuan Santongapplication combinedwithconventionalwesternmedicinetreatment15daysforacourseoftreatment．Thechangeoftreatmentefficacyand syndromesof 2 groupswereobserved．Results ThecurativeeffectsofTreatmentgroup inpatientswith anginapectorisoftraditionalChinesemedicine syndromewassuperiortothecontrolgroup (P0．05)．Conclusion ThecurativeeffectsofGuanSantongapplicationcombinedwith conventionalwesternmedicinetreatmentofsenileobstructionofheartachejunctionofphlegm andbloodstasiscomparedwithpurewestern medicinetreatmentwassuperior． Keywords：oldheartache；phlegm ；GoanSantongapplication；efficacyobservation 辽宁中医药大学附属医院干诊科 3年以来 ，用通 次 口服抗血小板聚集