摘要
目的:评价通脉化浊汤治疗痰瘀互结型冠心病心绞痛患者的临床疗效。方法:将60例痰瘀互结型冠心病心绞痛患者按随机数字表法随机分成两组,分别为试验组(西药常规治疗基础上联合通脉化浊汤)、对照组(西药治疗基础上联合通脉化浊汤模拟剂)。治疗8周后观察各组心绞痛疗效、心绞痛疗效、心电图改善情况及中医证候积分。结果:心绞痛疗效比较结果试验组疗效显著优于对照组(P<0.05);心绞痛发作情况比较结果与本组治疗前比较,两组患者心绞痛发作频率、持续时间及心绞痛积分均显著降低(P<0.01),与对照组治疗后比较,试验组心绞痛发作频率、疼痛持续时间及心绞痛积分显著降低(P<0.05);心电图改变比较结果与本组治疗前比较,两组治疗后ST段下移导联数、T波低平导联数、T波倒置导联数均减少(P<0.05),与对照组治疗后比较,试验组T波低平导联数、T波倒置导联数均显著降低(P<0.05),ST下移导联数无显著变化(P>0.05);中医症状总体评价疗效统计结果试验组疗效显著优于对照组(P<0.05)。结论:通脉化浊汤对痰瘀互结型冠心病心绞痛疗效显著。
Objective ： To evaluate the Tongmai Huazhuo soup treatment of phlegm and blood stasis each node type of angina patients clinical efficacy. Methods： 60 cases of phlegm and blood stasis each node type of angina patients were randomly randomly divided into two groups, namely, the experimental group （conventional western medicine treatment on the basis of joint tongmai Huazhuo soup） in the control group （western medicine on the basis of joint Tongmai Huazhuo soup analog agent）. Observed after 8 weeks of treatment in each group with angina pectoris, angina pectoris, ECG im- provement and TCM syndrome score. Results： angina pectoris Compare the results of the test group efficacy was signifi- cantly better than the control group （ P 〈 0.05 ） ; angina pectoris results compared with the group before treatment, were significantly lower in the two groups of patients with angina attack frequency, duration and angina integral （P 〈 0.01 ）, with the control group after treatment, the experimental group angina attack frequency and duration of pain and angina in- tegral significantly reduced （ P 〈 0.05 ） ; compare the ECG change the result of the comparison with the group before treatment, after treatment after ST - segment depression in the number of leads, T wave flat number of leads, T wave in- version number of leads were reduced （ P 〈 0.05 ）, with the control group after treatment, the test group T wave flat lead, T wave inverted number of leads were significantly lower （P 〈 0.05）, ST down the number of lead did not change signifi- cantly （ P 〉 0.05 ） ; overall evaluation of the efficacy of clinical symptoms statistical results of the experimental group was significantly better than the control group （ P 〈 0.05 ）. Conclusion ： Tongmai Huazhuo soup Phlegm each node type significant coronary artery disease with angina pectoris.
出处
《中华中医药学刊》
CAS
2013年第9期1875-1877,共3页
Chinese Archives of Traditional Chinese Medicine
基金
国家中医药管理局络病重点学科建设项目(2012)
辽宁省医学重点专科资助项目(200822)
辽宁省教育厅资助项目(2008455)
关键词
通脉化浊汤
冠心病心绞痛
痰瘀互结
Tongmai Huazhuo Decoction
Coronary heart disease
Phlegm and blood stasis.
