通脉益心汤治疗气虚血瘀型冠心病稳定型心绞痛的临床探究.pdfVIP

提 要 目的：观察通脉益心汤治疗冠心病稳定型心绞痛的临床疗效并对其作用机制进行 探讨。方法:将60例冠心病稳定型心绞痛患者，证属胸痹气虚血瘀型者，随机分成两 组，治疗组30例，对照组30例。对照组给予西医常规治疗，治疗组在西医常规治疗 的基础上加服通脉益心汤，四周后进行临床疗效评定。分别于治疗前后行心电图和血、 尿、便常规，肝肾功能等实验室检查，观察治疗前后两组患者的临床症状、心绞痛量 表积分、心电图、血脂、血液流变学等指标,从而评判其疗效和安全性。结果：临床 观察表明,治疗组在改善患者中医证候、提高患者生存质量、调节血脂、降低血液粘 度等方面均优于对照组（P＜0.01 或 P＜0.05）。结论：通脉益心汤配合西医常规治 疗可显著改善患者临床症状，提高患者的生存质量，并有调节血脂、降低血液粘度的 作用。 关键词 通脉益心汤；稳定型心绞痛；临床研究 Clinical Study on the Effect of Tong Mai Yi Xin Tang in Treating Stable Angina Pectoris in Coronary heart disease with Qi deficiency and blood stasis syndrome Speciality ：cardioangiology of combination of TCM and west medicine Author ：An Tingting Tutor ：Prof. Wu Zuoli Abstract Objective: To study and observe the clinical effect of Tong Mai Yi Xin tang decoction on Chronic Stable Angina and explore its mechanism of effect. Meathods: collecting 60 patients of chest numbness, qi deficiency and blood stasis suffering stable angina pectoris and randomly allocating them into two groups of treated group and control group with each group 30 patients. Conventional Western medical therapy was given to both groups. At the same time, the treatment group received Tong Mai Yi Xin tang. and then evaluating the clinical effect of this therapy after 4 weeks; Do the laboratory examination of ECG,blood routine, urinalysis, routine stool ,liver and renal function before and after treatment , and observed their medical indicators of clinical symptoms, angina scale scores, ECG, blood-lipoid, and clinical hemorheology, and then assessing the safety and curative effect of this therapy. Result : According to the clinical observation, the therapy of the treated group is superior to that of the control gro