通脉益元膏对PCI术后疗效影响.docVIP

精品论文 参考文献 通脉益元膏对PCI术后疗效影响 梁田 [摘 要]目的　探讨通脉益元膏治疗冠心病患者PCI术后的疗效及安全性。方法　将2012 年1月—2014年1月住院的66例冠心病PCI术后患者随机分为治疗组33例和对照组33例，对照组常规治疗，治疗组在此基础上加用通脉益元膏，比较两组治疗后的临床效果、再狭窄、中医证候改善等。结果　对照组心绞痛症状改善，显效3例、有效16例、无效14例，治疗组显效6例、有效22例、无效5例，两组治疗效果间差异有统计学意义(P ＜ 0. 05) 。治疗后治疗组冠脉再狭窄率低于对照组；中医症候学改善治疗组明显高于对照组，差异均有统计学意义( P ＜ 0. 05) 。两组不良反应发生率比较，差异无统计学意义( P ＞0. 05)。结论　通脉益元膏可改善冠心病PCI术后患者的心绞痛症状、降低再狭窄、改善中医证候。 [关键词]冠心病 冠脉介入术后 再狭窄 通脉益???膏 中医证候 DOI:10.3760/cma.j.issn.0376-2491.2014.44.043 作者单位：221003 江苏徐州，江苏省徐州市中医院心内科 Clinical Effect of Tongmai Yiyuan Cream on Postoperative Patients after PCI Liang Tian Abstract: Objective To investigate the curative effect and safety of Tongmai Yiyuan cream on postoperative patients after PCI. Methods 66 patients accepted PCI were randomly divided into the treatment group and the control group. The two groups were treated according to CHD treatment guideline, while the treatment group was given additional Tongmai Yiyuan cream 9g twice daily for 3 consecutive months. The changes of clinical effect, the restenosis rate and traditional Chinese medicine syndrome changes after treatment were compared between the two groups. Results In the control group，3 cases were significantly improved，16 cases improved and 14 cases invalid，while in the treatment group，6 cases were significantly improved，22 cases improved and 5 cases were invalid. The difference between the two groups after treatment was statistically significant (P lt;0. 05); the restenosis rates of the treatment group was lower than the control group; the traditional Chinese medicine syndrome changes of the treatment group was significantly higher than the control group ( P ＜ 0. 05); The adverse effect rate of the two groups showed no statistically significant difference. Conclusion The combination of Tongmai Yiyuan cream and western medicine treatment can effectively reduce angina and restenosis after PCI and improve the traditional Chinese medicine syndromes. Key