摘要
目的 :观察生脉联合黄芪治疗老年冠心病心绞痛的临床疗效及对血液流变学的影响。方法 :老年冠心病心绞痛患者 6 3例 ,随机分为两组。A组 (31例 )给予抗心绞痛常规治疗 ,B组 (32例 )在抗心绞痛常规治疗基础上加生脉和黄芪静脉滴注 ,每天一次 ,连用 14天。根据两组治疗前后及心电图变化判定显效、有效或无效 ,并于用药前后化验肝肾功能、血糖、血脂及对血液流变学的影响。结果 :A组与B组在改善心绞痛疗效总有效率分别为 70 9% ,90 6 % (P <0 0 5 ) ,心电图疗效分别为6 1 3% ,84 4 % (P <0 0 5 ) ,两组肝肾功能、血糖、血脂均无明显改变 ,但对血液流变学的影响B组优于A组 (P <0 0 1)。结论 :生脉联合黄芪治疗能改善老年冠心病心绞痛及心肌缺血 。
Objective:To study the effect of injection Shengmai combined with injection Huangqi on the senile patients with angina pectoris and blood high viscosity.Methods:63 senile patients with angina pectoris of coronary heart disease were randomly divided into two group.Group A(31 cases) were given the routine therapy of anti angina pectoris.Group B were given intravenous injection of Shengmai and Huangqi(one time a day,for 14 days),on the base of the routine therapy of anti angina pectoris.Electrocardiogram(ECG),liver function,kidney function and blood sugar,blood lipid and blood viscosity were examined before and after treatment.Results:Symptom of angina pectoris was relieved in two groups.The total effective rate was 70 9% in group A,and 90 6% in group B.There was significantly difference between two groups(P<0 05).The depressed ST T segment of ECG was relieved in two groups.The total effective rate was 61 3% in group A,and 84 4% in group B(P<0 01).The change of blood viscosity in group B was significantly bigger than that in group A.There was no significant change in liver function,kidney function,blood sugar,and blood lipid in two groups.Conclusions:The therapy of injection Shengmai combined with injection Huangqi could relieve the symptom of angina pectoris and myocardial ischemia,and reduce the blood viscosity in the senile patients with coronary heart disease.
出处
《广西医学》
CAS
2003年第11期2131-2133,共3页
Guangxi Medical Journal
