补肾通阳化瘀法治疗稳定型心绞痛的临床探究.pdfVIP

提 要 目的：观察温阳化瘀汤治疗稳定型心绞痛肾虚痰瘀阻滞证的临床疗效，并探讨其 作用机制。方法：随机选择冠心病稳定型劳累性心绞痛Ⅰ～Ⅲ级的患者 60 例，每组 30 例。分为治疗组(30例)和对照组(30例)。分别予以补肾通阳化瘀法和养心氏片对 照治疗，一个月后观察疗效。结果：稳定型心绞痛总有效率，治疗组为90.0%、对照 组为76.7%，治疗组优于对照组（P＜0.05）；中医证候疗效，治疗组总有效率为93.3%、 对照组为 70.0%，治疗组优于对照组（P＜0.05）；心电图疗效，治疗组总有效率为 80.0%、对照组总有效率60.0%，治疗组优于对照组（P＜0.05）。 结论：温阳化瘀汤 能明显改善稳定型心绞痛患者的临床症状，提高临床疗效。显著改善血脂代谢紊乱， 改善心电图疗效。并在一定程度上促进血栓的溶解，最终达到抗心肌缺血、缺氧，保 护心室功能，防止心绞痛发作，本研究结果为稳定型心绞痛的防治提供了新的思路和 方法。 关键词 温阳化瘀汤；稳定型心绞痛；肾虚痰瘀阻滞证；临床研究 Invigorates the kidney passes the positive removing extravasted blood law treatment stability mode angina pectoris the clinical research Speciality: Medicine of TCM Tutor: Prof.Bao Pei rong Author: Geng ji fei Abstract Purpose:Observe the Yu soup of anodizing to cure to stabilize a type an angina pectoris kidney falsely the phlegm Yu block Zhi the clinical curative effect of the certificate, and inquire into it acting a machining.Method:Random select coronary stabilization type tired sex angina pectoris Ⅰ ~the sufferer of Ⅲ class is 60, each 30.Is divided into treatment set(is 30) and matched control.(is 30)Restore virility an anodizing Yu law and cultivate mental calm a surname slab respectively collate to cure and observe curative effect after a month.Result:Stable type the angina pectoris is always efficient, the treatment set is a 90.0%, matched control is 76.7%, treatment set better than matched control;(P0.05)The Chinese medicine certificate waits curative effect, the treatment set is always efficient for the 93.3%, matched control for 70.0%, treatment set better than matched control;(P0.05)Electrocardiogram curative effect, th