心肺同治治疗老冠心病心绞痛的临床研究.pdfVIP

Clinical Study on Treating Angina Pectoris of Coronary Heart Disease for the aged with Synchronic Treating Heart and Lungs Speciality：Internal Medicine of Traditional Chinese Medicine Author ：Liu Aiping Tutor：Prof. Wang Jingcun Abstract Objective：To study the meaning of synchronic treating heart and lungs theory in angina pectoris of coronary heart disease for the aged ，and observe the clinical effect of Xuanfei Tongmai decoction on it ．Methods ：60 aged patients of angina pectoris of coronary heart disease were divided randomly into two groups ．30 cases with Xuanfei Tongmai decoction were taken as treatment group，another 30 cases treated with Fufang danshen diwan were taken as control group ．The changes of clinical symptoms and index in all the patients were observed before and after treatment ．Results ：The statistical results and ECG show that the method of treatment group is superior or similar to that of control group in promoting clinical symptoms 、regulating the blood-lipoid 、promoting blood rheology and electrocardiogram 、improving vascular endothelial function ．Conclusion ： Xuanfei Tongmai has the effect of alleviating angina pectoris of coronary heart disease,and this study enriches the theory of TCM treating angina pectoris of coronary heart disease for the aged ． Key words Synchronic treating heart and lungs； Angina pectoris of coronary heart disease for the aged；Xuanfei Tongmai decoction 目 录 引 言 1 临床研究 2 一、资料与方法 2 （一）诊断标准 2 （二）病例选择 2 （三）研究对象 4 （四）治疗及观察方法 6 （五）疗效评定标准 7 （六）统计分析方法 9 二、研究结果 9 （一）总体疗效比较 9 （二）心绞痛疗效比较 9 （三）硝酸甘油停减率比较 10 （四）中医单项症状疗效比较 10 （五）心电图疗效比较 10 （六）对血脂的影响 11 （七）对内皮功能的影响 11 （八）对血液流变学的影响 12 （九）安全性检测 12 讨 论 13 一、肺气虚，肺气郁闭是老年冠心病心绞痛发病中的重要影响因素 13 （一）肺气虚