扶阳软坚饮治疗肢体动脉硬化闭塞症.pdf

58 8 Chinese Journal of Clinical Medicine, 2010.Vol.17, No.4　　　　20 10 8 　17 　4 　 　· ·　 1 1 1 1 1 2 方豫东 　曹烨民 　相盛敏 　吴伟达 　奚九一　杨云柯 (1.上海市中西医结合医院脉管科, 上海　2000 82;2.复 大学附属中山医院中医科, 上海　20 0032 ) 　目的:观察扶阳软坚饮治疗肢体动脉硬化闭塞症的临床疗效。方法:肢体动脉硬化闭塞症80 例, 随机分为治疗组 40 例, 对照组4 0 例。治疗组服用扶阳软坚饮水煎剂,每次 100 mL,每日2 次口服;对照组服用阿司匹林肠溶片,每次 10 0 mg, 每 日1 次, 同时口服通塞脉片,每次5 片,每日3 次口服。2 组均以30 d 为1 个疗程。结果:治疗组总有效率为95 %, 疗效优于对 照组(82 .5 %)(P0.01)。 治疗组患肢的皮温、疼痛、间歇性跛行、静息痛和踝肱指数有明显改善, 两者有显著差异(P 0.0 5)。结论:扶阳软坚饮治疗肢体动脉硬化闭塞症有显著疗效,能有效改善肢体动脉硬化闭塞症的临床缺血症状和体征, 具 有改善肢体动脉血供的作用。 　扶阳软坚;　肢体动脉硬化闭塞症;　踝肱指数;　中医 　R54 3.5　　　A The Clinical Observation of Fu Yang Ruan Jian Yin Treated Arteriosclerosis Obliterans　F AN G Y udong 1 　 1 1 1 1 2 CA O Yem in 　X I A N G Sheng min 　WU Weida 　X I J iuy i 　YA N G Yuke 　1.Shang hai H osp ital o I nteg rated TCM and Western Med icine 　2 00082, Ch ina ;2.D ep artmen t o TCM, Z hongshan H osp ital, F udan Un iversi ty 　2 00032,Ch ina Abstract 　Objective:To observe the clinical curative effect of Fu Yang Ruan Jian Yin treated arteriosclerosis obliterans.Meth- ods:We observed 80 arteriosclerosis obliterans cases, the treated group 4 0 patients too orally the apozem of Fu Yang Ruan Jian Yin , 100 ml toties quoties, twice everyday ;w e gave the control group 40 patients asprin enteric tablet 10 0mg everyday, and Tong Sai Mai Pian 5 pills toties quoties , three times everyday, one month w as one course.Results:This observed differ- ence was statistically significant (P0.01).The effective pow er was 9 5.0 %in Fu Yang Ruan Jian Yin group, the curative effect w as better than the control group (82 .5 %).It could improve the s in tem perature, angina crurisis, rest pain, and the an le brachium index of the affected extremity obviously(P0.05 ).C