益气养阴活血法治疗冠心病心绞痛气阴两虚血瘀证的临床探究.pdfVIP

提 要 目的：观察益气养阴活血法治疗冠心病心绞痛气阴两虚血瘀证的临床疗效。方法： 将60例冠心病心绞痛气阴两虚血瘀证患者随机分为两组，试验组30例，运用益气养 阴活血法组方治疗；对照组 30 例，给予通心络胶囊。观察 4 周。结果：试验组疾病 总疗效总有效率80%，显效率36.7%；心绞痛疗效总有效率90%，显效率40%；心电图 疗效总有效率80%，显效率36.7%；中医症状总疗效总有效率90%，显效率43.3%。试 验组疾病总疗效和心电图疗效优于对照组，差异无统计学意义（P＞0.05），心绞痛疗 效和中医症状总疗效明显优于对照组，差异有统计学意义（P＜0.05）。试验组可显著 降低TG、LDL-C，改善血流变，与对照组相比有显著性差异（P＜0.05或P＜0.01）。 结论：运用益气养阴活血法治疗冠心病心绞痛气阴两虚血瘀证疗效显著。 关键词 益气养阴活血；冠心病心绞痛；临床研究 The Clinical Study on angina pectoris of Coronary Heart Disease Treated with The Method of YI–QI-YANF-YIN-HUO-XUE Speciality: Internal medicine of TCM Author: Wang Xuemei Tutor: Professor Gao Hongchun Abstract Objective: To observe the clinical effect of the prescription of YI –QI –YANG- YIN-HUO-XUE on coronary heart disease and angina pectoris.Methods: 60 patients of angina pectoris were randomly divided into treatment group (30cases) and control group (30cases). TONG-XIN-LUO capsule was given to the control group. The treatment group ones were dosed with the prescription of YI-QI-YANG-YIN-HUO-XUE. The influences of clinical effect, ECG and laboratory indexes on coronary heart disease and angina pectoris were observed before and after treatment in both groups. Results: In the treatment group,the total effective rates of relieving angina ，improving ECG and meliorating symptoms were respectively 90%,80% and 90%;the corresponding remarkable rates were respectively 40%,36.7%,43.3%.The effective rates of relieving angina and meliorating symptoms were significantly better than those of the control group(p ＜0.05).The level of TG，LDL-C ，blood viscosity were decreased remarkably in the treatment group ，which were statistically different compared with those of the control group(p ＜0.05).Conclusion: the prescription of YI- QI- YANG- YIN-HUO-XUE can obta