益气活血通络法治疗初发劳力型心绞痛的临床探究.pdfVIP

提 要 目的：观察益气活血通络法对初发劳力型心绞痛的临床疗效，并初步探讨其作用 机制。方法：选择 60 例患有初发劳力型心绞痛的患者，随机分成治疗组和对照组。 治疗组采用益气活血通络法(以补阳还五汤为基础方加减)；对照组予口服复方丹参滴 丸治疗，两组必要时均可含服硝酸甘油。结果: 心绞痛总有效率治疗组 83.3% 对照 组为 76.7%，治疗组与对照组疗效接近(P0.05);中医证候疗效治疗组总有效率为 83.3%、对照组为73.3%，治疗组明显优于对照组(P0.05);心电图疗效，治疗组、对 照组总有效率均为60%，治疗组与对照组疗效接近(P0.05)；硝酸甘油停减率治疗组 83.3%，对照组 76.7%；治疗组与对照组甘油三酯、胆固醇相比，治疗组均明显降低 (P0.05)；治疗组与对照组高密度脂蛋白相比，治疗组明显优于对照组(P0.05)。结 论:益气活血通络法是临床上治疗心绞痛气虚血瘀型的一个安全、有效的方法。不仅 能明显缓解胸闷、胸痛、气短、乏力等临床症状，同时可改善心电图，降低甘油三酯、 胆固醇含量，提高高密度脂蛋白，减少硝酸甘油用量。本试验提示: 益气活血通络法 在治疗冠心病初发劳力型心绞痛方面疗效可靠。 关键词：益气活血通络法；补阳还五汤;初发劳力型心绞痛；临床疗效；中医 药 Clinical Reasearch on Primordial Labour-unstable Angina with the Therapy of Supplementing Qi and Activating Blood Circulation Speciality:Internal Medicine of Traditional Chinese Medicine Author:RenDajie Tutor:Pro. DongGuiying Abstract Objective :To observe the clinical effecte of the therapy of supplementing Qi and activating blood on the disease of primordial labour-unstable angina and to Probe its mechanism of action. Methods:60 patients of labour-unstable angina were divided randomly into experiment group(30 patients) and control group(30 patients).The experiment group was treated with Bu Yang Huan Wu Tang Decoction ，sublingual nitroglycerin essencially.while the control group was treated with nitroglycerin. Four weeks later,we observed the effect on the patients. Result: The totle angina effective rate is 83.3% in experiment group while in the control group 76.7%, the effects are mostly the same(P0.05);The totle effective rate of the symptoms on traditional Chinese medicine is 83.3% in experiment group,