浅析中医辩证施治治疗心肌梗死临床观察.docVIP

精品论文 参考文献 浅析中医辩证施治治疗心肌梗死临床观察 王敬波 黑龙江省绥化市北林区第五医院 152000 　　摘要：目的 研究分析中医辩证施治治疗心肌梗死的临床观察。方法 此次研究的对象是选择我院2014年3月～2015年4月治疗的62例心肌梗死患者，将其临床资料进行回顾性分析。中医分型：阳气虚损型10例，阴血亏虚型12例，瘀血阻滞型14例，痰浊闭塞型22例，寒凝心脉型4例。痰浊闭塞型治疗原则：豁痰散结，通阳泄浊。治疗方法：瓜蒌薤白半夏汤加味。寒凝心脉型治疗原则：散寒活血，宣痹通阳。治疗方法：乌头赤石脂丸配服苏合香丸。阳气虚损型治疗原则：温阳益气，活络止痛。治疗方法：桂枝人参汤（《伤寒论》）加味。阴血亏虚型治疗原则：滋阴补血，活络止痛。治疗方法：桃红四物汤送服六味地黄丸。瘀血阻滞型治疗原则：活血化瘀，通脉止痛。治疗方法：血府逐瘀汤加味。结果 62例患者经过治疗显效32例，有效21例，无效9例，总有效率为85.5%，其中阳气虚损型总有效率为90.0%，阴血亏虚型总有效率为83.3%，瘀血阻滞型总有效率为78.6%，痰浊闭塞型总有效率为90.9%，寒凝心脉型总有效率为75.0%。结论 中医辩证施治治疗心肌梗死疗效显著，值得推广。 　　关键词：心肌梗死；中医辩证施；中医分型 　　Abstract: Objective To study the clinical observation on the treatment of myocardial infarction and the dialectical analysis of traditional Chinese medicine. Methods the study was conducted in 62 patients with myocardial infarction treated in our hospital from March 2014 to April 2015. The clinical data were retrospectively analyzed. TCM Type: 10 cases of Yang Qi deficiency type, 12 cases of deficiency of yin and blood, blood stasis type 14 cases of phlegm obstruction type in 22 cases, 4 cases of cold heart vein type. The principle of treatment of phlegm obstruction type: phlegm Sanjie, Yang xiezhuo. Treatment methods: GualouXiebaiBanxia decoction. The treatment principle of cold coagulation heart and pulse type: dispersing cold and activating blood, activating yang. Treatment methods: Wutou Chishizhi pill served with Suhexiang pill. Yang Qi deficiency type: the treatment principle of Yang Qi, activating blood circulation and relieving pain. Treatment methods: guizhirenshen Decoction (Treatise on modified). Yin deficiency type: the therapeutic principle of nourishing yin and blood, activating blood circulation and relieving pain. Treatment methods: Taohongsiwutang take six taste glutinous rehmannia pill. The principle of treatment of blood stasis type: Huoxue Huayu Tongmai pain. Treatment: Blood Stasis decoction. Results 62 patients after treatment of 32 cases cured, 21 cases effective, 9 cases ineffective, the total effecti