摘要
目的:观察黄连茯苓汤联合低成本运动康复治疗冠状动脉粥样硬化性心脏病(冠心病)的临床疗效。方法:将140例冠状动脉粥样硬化性心脏病患者随机分为对照组和治疗组,每组70例。对照组采用低成本运动康复治疗,观察组在对照组治疗基础上加用黄连茯苓汤(黄连10 g,茯苓15 g,麦冬20 g,车前子10 g,通草10 g,远志12 g,法半夏10 g,黄芩10 g,甘草5 g,生姜2片,大枣2枚)治疗。比较两组患者治疗前后中医证候积分、心率、生存质量变化情况,并评价两组患者临床疗效。结果:观察组有效率为91.73%,对照组有效率为74.29%,两组比较,差异有统计学意义(P<0.05);与治疗前比较,两组患者中医证候积分、心率均降低,而生理领域、心理领域、环境领域、社会关系领域评分均上升,且观察组上述观察指标均优于对照组,差异均有统计学意义(P<0.05)。结论:对冠心病患者采用黄连茯苓汤联合低成本运动康复治疗,可显著提高临床疗效,缓解临床症状,改善心率,提高生存质量。
Objective： To observe the clinical efficacy of Huanglian Fuling Tang combined with low-cost exercise rehabilitation in treatment of coronary heart disease（ CHD）. Methods： 140 CHD patients were randomly divided into the control group and the observation group,70 cases in each group. The control group took low-cost exercise rehabilitation,and the observation group took Huanglian Fuling Tang combined with low-cost exercise rehabilitation. Huanglian（ Coptis Chinensis） 10 g,Fuling（ Poria Cocos）15 g,Maidong（ Radix Ophiopogonis） 20 g,Cheqianzi（ Semen Plantaginis） 10 g,Tongcao（ Tetrapanax Papyriferus） 10 g,Zhiyuan（ Polygala Tenuifolia） 12 g,Fabanxia（ Rhizoma Pinellinae Praeparata） 10 g,Huangqin（ Radix Scutellariae） 10 g,Gancao（ Liquorice） 5 g,Shengjiang（ Fresh Ginger） two pieces,Dazao（ Jujube） two pieces. The changes of TCM symptom score,heart rate,survival quality of two groups before and after treatment were compared,and clinical efficacy of two groups were evaluated. Results： The clinical total effective rate of observation group was 91. 73%,which was higher than 74. 29% of control group（ P〈0. 05）; Compared with pre-treatment,the TCM symptoms score and heart rate of two groups decreased,but the scores of physical,mental,environmental,social relation domains increased,and the above indexes of observation group were better than control group（ P〈0. 05）. Conclusion： Huanglian Fuling Tang combined with low-cost exercise rehabilitation for CHD patients can significantly increase clinical efficacy,relieve clinical symptom,improve heart rate,promote body recovery and increase survival quality.
出处
《中医学报》
CAS
2018年第1期129-132,137,共5页
Acta Chinese Medicine
基金
国家自然科学基金项目(31570899
81471306)
河南省医学科技攻关计划基金项目(201403273)
关键词
冠状动脉粥样硬化性心脏病
黄连茯苓汤
低成本运动康复
生存质量
中医药疗法
中西医结合
coronary heart disease
Huanglian Fuling Tang
low-cost exercise rehabilitation
survival quality
TCM therapy
combination of traditional Chinese and Western medicine
