摘要
本文对比了中西医结合治疗5年以上的冠心病患者治疗前后中医辨证,表明有65.62%证型稳定或趋向好转,有34.38%证型趋向恶化,提示年距、病程,心肌损害、并发病、阳虚程度、血瘀及血液高凝状态为影响因素。说明保护阳气及积极防治并发病的必要性。
64 cases with TCM differential types of CHD treated with TCM-WM in long term(an average of 10.5 years)were divided into four types according to deficiency of Yang(阳)[including weakness of Ql(气)],deficiency of Yin(阴),blood stasis and disorder of Qi and phlegm.Compared with pre-treatment 42 cases(65.62%)with TCM differential types showed improvement or no change in group Ⅰ,Ⅱ(clinical total effective rate 92.86%,the significantly effective rate 40.98%).While 22 cases (34.38%)with TCM differential type became aggravated or worse(clinical total effective rate 54.54%, the significantly effective rate 13.63%).The report indicated that the results in comparing group Ⅰ, Ⅱ with group Ⅲ,Ⅳ were statistically significant;age(P<0.01),course of disease (P<0.01),impair- ment of myocardium(P<0.05),complication(P<0.05),ratio of deficiency of Yang(P<0.01),blood stasis(P<0.01)and high coagulation of blood(P<0.01).Therefore the author suggests that it is necessary to protect Yang-Qi and prevent and treat the complication of the CHD patients.
关键词
冠心病
中西医结合
coronary heart disease
differential types of traditional Chinese medicine
