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血府逐瘀汤加减联合西药治疗冠心病心绞痛36例临床观察
黄文华,,徐英妹,,蒋凌飞
0
(广东省茂名市第三人民医院,广东 茂名,525200;广西中医药大学,广西 南宁,530200)
摘要:
目的:观察血府逐瘀汤加减联合西药治疗冠心病心绞痛的临床疗效。方法:将80例冠心病心绞痛患者随机分为治疗组与对照组,各40例。对照组给予西药治疗,治疗组在对照组治疗的基础上给予血府逐瘀汤加减治疗,观察2组患者治疗后的综合疗效、心绞痛发作次数和持续时间、血脂和血管内皮功能。结果:总有效率治疗组为91.67%,对照组为74.29%,组间比较,差异有统计学意义(P<0.05)。2组治疗后心绞痛发作频率和持续时间、血脂水平、血管内皮功能比较,差异均有统计学意义(P<0.05)。结论:血府逐瘀汤加减联合西药治疗冠心病心绞痛疗效确切,能够改善患者的血脂与内皮功能。
关键词:  冠心病心绞痛  瘀血阻滞证  中西医结合疗法  血府逐瘀汤
DOI:
Clinical efficacy of modified Xuefu Zhuyu decoction combined with Western medicine in treatment of angina pectoris:An analysis of 36 cases
HUANG Wen-hua,,XU Ying-mei,,JIANG Ling-fei,
(The Third People Hospital of Maoming,Maoming 525200,Guangdong,China;Guangxi University of Chinese Medicine,Nanning 530200,Guangxi,China)
Abstract:
Objective:To investigate the clinical efficacy of modified Xuefu Zhuyu decoction combined with Western medicine in the treatment of angina pectoris.Methods:A total of 80 patients with angina pectoris were equally and randomly divided into treatment group and control group.The control group was given Western medicine,while the treatment group was given modified Xuefu Zhuyu decoction in addition to the treatment for the control group.The following indices were compared between the two groups:overall response rate,frequency and duration of angina pectoris,blood lipid level,and vascular endothelial function.Results:There was a significant difference in overall response rate between the treatment group and the control group(91.67% vs 74.29%,P<0.05).After treatment,there were significant differences in frequency and duration of angina pectoris,blood lipid level,and vascular endothelial function between the two groups(P<0.05).Conclusion:Modified Xuefu Zhuyu decoction combined with Western medicine can improve blood lipid level and endothelial function in patients with angina pectoris,so it has good clinical efficacy in the treatment of angina pectoris.
Key words:  angina pectoris  blood stasis syndrome  integrated traditional Chinese and Western medicine therapy  Xuefu Zhuyu decoction

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