加味生脉饮治疗老年下肢动脉硬化闭塞症的临床疗效视察.pdfVIP

提 要 目的：观察加味生脉饮联合前列地尔治疗老年下肢动脉硬化闭塞症的临床疗效， 探讨中医药在治疗老年下肢动脉硬化闭塞症的优势。 方法：选取符合标准的 60 例老年下肢动脉硬化闭塞症患者随机分为 2 组，对照 组30例给予前列地尔10μg，加入0．9%氯化钠注射液10mL中静脉推注，每天1 次， 治疗组 30 例，在对照组的基础上给予中药加味生脉饮，泡水代茶饮，每日 1 剂，14 天为1周期，连用6个周期为一疗程。观察治疗前后相关指标的改善情况。通过统计 学处理比较治疗组和对照组之间的临床疗效。 结果：治疗组总有效率为 93.3 ％，疗效优于对照组的70 ％（P ＜0. 05 ）。治疗组 患者临床症状和体征、内皮四项及踝肱指数有明显的改善，全血粘度、血脂及高敏C 反应蛋白明显降低，两组比较均有显著性差异（P ＜0. 05 ）。两组在治疗过程中均未发 生不良反应。 结论：加味生脉饮联合前列地尔对老年下肢动脉硬化闭塞症有着良好的治疗作 用，加味生脉饮在改善临床症状和体征、内皮四项、踝肱指数、全血粘度、血脂及高 敏C反应蛋白较前列地尔在老年下肢动脉硬化闭塞症的治疗上有明显优势。 关键词 下肢动脉硬化闭塞症；老年；加味生脉饮； The Clinical Research of Flavored ShengMaiYin Care for Elderly Lower Extremity Arteriosclerosis Obliterans Speciality：Internal Medicine of Traditional Chinese Medicine Author ：Chen Leijie Tutor：Professor Li Rui Abstract Objective: To observe clinical effects of combined therapy of Chinese and Western medicine on atheroscl erosis obliterans in lower extremities. Methods: 60 cases of atherosclerosis obliterans in lower extremities were randomly divided into 30 cases in treatment group and 30 cases in control group. Control group was injected liposomal prostaglandin E-1 10 μg through veins, once per day.Based on the treatment of control group ,treatment group were given oral decoction of flavored ShengMaiYin.14 days were 1 course of treatment for both groups. The effects were observed after 6 course of treatment. Observed before and after treatment of improving relevant indicators. Through the statistical processing comparison between treatment group and control group the curative effect. Results: Total effective rate of treatment group was 93.3%,better than of control group70%(P＜0.05).The symptoms signs