健脾养心汤治疗冠心病稳定型心绞痛气血两虚证的临床探究.pdfVIP

提 要 目的：观察健脾养心汤治疗冠心病稳定型心绞痛的临床疗效，并探讨其部分作用 机制，从心脾同治角度为临床治疗冠心病心绞痛，改善患者临床症状及预后提供用药 思路和依据。 方法：随机选择冠心病稳定型心绞痛气血两虚证的患者 60 例，分为试验组(30 例)和对照组(30例)。分别予以健脾养心汤和芪参益气滴丸治疗，4周后观察疗效。 结果：心绞痛总有效率试验组为70.0%，对照组为56.7%，试验组优于对照组（P ＜0.05）；中医证候疗效，试验组总有效率90.0%，对照组为66.7%，试验组优于对照 组（P＜0.01）；心电图疗效，试验组总有效率 70.0%，对照组总有效率 46.6%，试验 组优于对照组（P＜0.05）。 结论：健脾养心汤是临床上治疗冠心病心绞痛的一种常用有效的方剂之一，能明 显缓解胸痛、胸闷等临床症状，改善心电图。 关键词 冠心病心绞痛；健脾养心汤；临床研究；中医药治疗 Clinical Research on Treating the Coronary Heart Disease Angina of Deficiency of both Qi and blood by Jian Pi Yang Xin Decoction Speciality：Internal medicine of TCM Author ：Li Qiao Tutor：Pro.Su Wen Ge Abstract Objective：To observe the clinical effect of Jianpiyangxin on the disease of coronary heart disease(CHD)angina, Treatment from the perspective of the common heart and spleen on the Treatment of CHD and part explore its mechanism of action, so as to clinical crown angina heart disease and improve clinical symptoms and prognosis based on ideas and provide medication. Methods ：60 patients of CHD with stable tired angina of deficiency of both qi and blood were chosen randomly, and divided into experiment group(n=30)and control group(n=30).The experiment group was treated with Jian Pi Yang Xin Decoction,while the control group was treated with Qi Shen Yi Qi droping pills.Four weeks later,we observed the effect on the patients. Results ：Respectively,the total angina effective rate is 70.0% in experiment group and 56.7% in control group,the comparison of the two groups has statistic significance(P ＜ 0.05),the experiment group shows better than that in control group;the total effective rate of the symptoms on traditional Chinese medicine is 90.0%,66.7%(P＜0.01);ECG total effective rate is 70.0%,46.6%;two groups have remarkable di