| 引用本文:陈少军，佟琦媛，张宁，孙久林.益气温阳活血通络药物治疗80岁以上老人PCI术后心绞痛的疗效观察[J].世界中医药,2017,(07):. |
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| 益气温阳活血通络药物治疗80岁以上老人PCI术后心绞痛的疗效观察 |
| Effect of Qi-replenishing Yang-warming Blood-activating and Collaterals-dredging Medicine in Treatment of Angina Pectoris After PCI for Population Over 80 Years of Age |
| 投稿时间：2017-01-03 |
| DOI：10.3969/j.issn.1673-7202.2017.07.023 |
| 中文关键词: 益气活血通络法 80岁以上老人 PCI术后心绞痛 |
| English Keywords:Qi-replenishing Yang-warming Blood-activating and Collaterals-dredging medicine Elderly patients over 80 years old Postoperative angina pectoris after PCI |
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| 中文摘要: |
| 目的：目的观察益气温阳活血通络法治疗80岁以上老人PCI术后心绞痛的疗效。方法：将68例80岁以上老人PCI术后心绞痛患者随机分为治疗组和对照组,对照组给予常规西药治疗,治疗组在常规西药治疗基础上加服益气温阳活血通络法中药,治疗时间8周,观察比较2组患者治疗前后心绞痛发作频率、心绞痛发作持续时间及6 min步行试验、左心室射血分数（LVEF%）。另外记录患者服用益气温阳活血通络药物的不良反应。结果：治疗组治疗8周后心绞痛疗效显著高于对照组(P<0.01),心绞痛发作频率、发作持续时间少于对照组(P<0.01),6 min步行试验及左心室射血分数改善显著优于对照组(P<0.05),且治疗组未见明显肝肾功能不良反应。结论：益气温阳活血通络法治疗80岁以上老人PCI术后心绞痛能显著缓解心绞痛的发生,改善患者心功能。 |
| English Summary: |
| To observe the effect of Qi-replenishing Yang-warming blood-activating circulation and Collaterals-dredging on angina pectoris after PCI for patients who were 80 years old or above.Methods:A total of 68 cases of elderly people over the age of 80 after PCI in patients with angina pectoris were randomly divided into treatment group and control group, the control group was given conventional western medicine treatment, and the treatment group added Qi-replenishing Yang-warming Blood-activating and Collaterals-dredging medicine on the basis of conventional western medicine, The treatment lasted for 8 weeks, then the 2 groups were observed and angina pectoris seizure frequency, duration of angina pectoris, 6 min walk test and left ventricular ejection fraction (LVEF%) were compared with before the treatment. In addition, the adverse reactions of patients after taking Qi-replenishing Yang-warming Blood-activating and Collaterals-dredging drug were recorded. Results:The condition of treatment group was significantly better than control group after 8 weeks' treatment(P<0.01). Seizure frequency as well as duration was less than the control group (P<0.01), 6 min walking test and improved left ventricular ejection fraction in treattment group were significantly better than that of control group (P<0.05). And there was not obvious adverse reactions of liver or kidney function. Conclusion:Supplementing Qi, warming Yang, activating blood circulation and dredging collaterals therapy can effectively relieve the occurrence of angina pectoris after PCI and improve the cardiac function of the elderly over 80 years old. |
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