CAJ | 학술논문

目的：探讨在西药常规治疗的基础上加用血府逐瘀汤治疗冠心病心绞痛的临床疗效。方法：将90例冠心病心绞痛患者随机分为治疗组、对照组各45例，2组采用降血压、抗凝、降血脂等常规治疗，治疗组加用血府逐瘀汤，1剂/d，水煎分服。2组均以4周为1个疗程，治疗4个疗程后观察2组临床疗效及治疗前后血液流变学指标的变化情况。结果：总有效率治疗组为88.89%，对照组为73.33%，2组比较差异显著（P＜0.05）。2组血液流变学指标均较治疗前改善(P＜0.05)，且治疗组改善情况优于对照组(P＜0.05)。结论：在西药常规治疗的基础上加用血府逐瘀汤治疗冠心病心绞痛临床疗效显著。
목적：탐토재서약상규치료적기출상가용혈부축어탕치료관심병심교통적림상료효。방법：장90례관심병심교통환자수궤분위치료조、대조조각45례，2조채용강혈압、항응、강혈지등상규치료，치료조가용혈부축어탕，1제/d，수전분복。2조균이4주위1개료정，치료4개료정후관찰2조림상료효급치료전후혈액류변학지표적변화정황。결과：총유효솔치료조위88.89%，대조조위73.33%，2조비교차이현저（P＜0.05）。2조혈액류변학지표균교치료전개선(P＜0.05)，차치료조개선정황우우대조조(P＜0.05)。결론：재서약상규치료적기출상가용혈부축어탕치료관심병심교통림상료효현저。
Objective:To explore therapeutic effects of XueFu ZhuYu Tang and routine treatment of western medicine in treating coronary heart disease angina pectoris. Methods:All 90 cases were randomized into the treat-ment group and the control group. Both groups received routine treatment to lower blood pressure, anti-coagulation, decreasing blood lipid and others, the treatment group took XueFu ZhuYu Tang, each day one dose, water decocted. Four weeks were one course of the treatment, In four courses of the treatment, clinical effects, the changes of blood rheology indexes before and after treating were observed. Results: Total effective rate of the treatment group was 88.89%, higher than 73.33%of the control group with notable difference (P<0.05). The indexes of blood rheology in both groups were improved after treating compared with before treating (P<0.05), and the improvement of the treatment group was superior to that of the control group (P<0.05). Conclusion:XueFu ZhuYu Tang is effective in treating coronary heart disease angina pectoris on the basis of routine treatment of western medicine.