心肺同治治疗老年冠心病心绞痛的临床探究.pdfVIP

提 要 目的：探讨心肺同治理论在治疗老年冠心病心绞痛中的意义，观察宣肺通脉汤对 老年冠心病心绞痛的临床疗效。方法：60 例老年冠心病心绞痛患者属肺气郁闭、心 脉不通者，随机分成两组，观察组30 例，对照组30例。观察组给予宣肺通脉汤治疗， 对照组给予复方丹参滴丸治疗，观察治疗前后临床症状、心电图、化验室检查指标的 变化。结果：经治疗四周后，总体疗效比较，宣肺通脉汤组总有效率为 86.67%，与 对照组比较有显著性差异(P0.05)。同时具有调脂、改善血管内皮功能，改善血液流 变学指标的作用。结论：宣肺通脉汤具有缓解冠心病心绞痛的作用，本研究肯定了其 临床疗效并丰富了中医药治疗老年冠心病心绞痛的理论内容。 关键词 心肺同治；老年冠心病心绞痛；宣肺通脉汤 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 fo