养心通络汤治疗气阴两虚、血瘀痰阻型慢性稳定性冠心病
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国家中医药行业科研专项(201407001-6A);沈宝藩国医大师传承工作室


Effect of Yangxin Tongluo Decoction for Chronic Coronary Heart Disease of Deficiency of Both Qi and Yin and Blood Stasis and Phlegm Coagulation Syndrome
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    摘要:

    目的:探讨养心通络汤对气阴两虚、血瘀痰阻型慢性稳定性冠心病患者生命质量的影响。方法:选取2016年12月至2017年8月新疆维吾尔自治区中医医院收治的辨证为气阴两虚、血瘀痰阻型慢性稳定性冠心病的患者130例作为研究对象,按照随机数字表法随机分为对照组与观察组,每组65例。对照组给予常规西药治疗。观察组患者在对照组基础上加服养心通络汤治疗,比较2组患者的临床疗效和生命质量的情况。结果:通过研究,发现观察组患者的治疗总的有效率明显高于了对照组(P<0.05);治疗后,观察组患者的生命质量明显改善,运动平板试验时总运动时间、ST段压低1 mV的时间、ST段最大压低幅度及心绞痛积分的改善情况优于对照组(P<0.05)。结论:养心通络汤结合西医常规治疗可明显改善气阴两虚、血瘀痰阻型慢性稳定性心绞痛患者的临床症状,提高其生命质量水平,值得临床推广应用。

    Abstract:

    to investigate the effect of Yangxin Tongluo decoction on the quality of life in patients with chronic stable coronary heart disease (chd).Methods:A total of 130 patients with stable chronic coronary heart disease (SCCHD) were selected from December 2016 to August 2017, who were diagnosed as deficiency of both Qi and Yin and blood stasis and phlegm coagulation syndrome in the Outpatient Department of the Hospital of Traditional Chinese Medicine Affiliated Xinjiang Medical University.They were divided into a control group and an Observation Group by random number table,65 cases in each group.The Control Group was treated with conventional Western medicine.The patients in the observation group were treated with Yangxin Tongluo decoction on the basis of the control group.The clinical efficacy and quality of life of the two groups were compared.Results:the total effective rate of the observation group was significantly higher than that of the control group (P<0.05).The improvement of total exercise time, St Segment Depression 1 MV, St Segment maximum depression range and angina pectoris score in treadmill exercise test were better than those in control group (P<0.05).Conclusion:Yangxin Tongluo decoction combined with Western medicine can obviously improve the clinical symptoms and quality of life of patients with chronic stable angina pectoris which is worthy clinical application.

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省格丽,刘芳,万智,李超,仝淼,朱鹏程,魏清.养心通络汤治疗气阴两虚、血瘀痰阻型慢性稳定性冠心病[J].世界中医药,2020,(08).

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  • 收稿日期:2019-09-19
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  • 在线发布日期: 2020-04-30
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