CAJ | 학술논문

目的：观察通阳法结合西药治疗冠心病不稳定型心绞痛临床疗效。方法：选取2010年3月至2013年3月在我科住院治疗患者258例，随机分为对照组和治疗组。对照组采用西药治疗，治疗组在对照组基础上加用自拟通阳舒心汤口服。治疗4周后进行疗效统计分析。结果：在心绞痛发作次数、持续时间及硝酸甘油用量上，两组自身治疗前后比较差异有统计学意义（P＜0.05），在以上3方面及心电图疗效、总有效率方面两组间比较，差异也有统计学意义（P＜0.05）。结论：通阳法结合西药治疗冠心病不稳定型心绞痛优于单纯使用西药治疗，值得临床推广。
목적：관찰통양법결합서약치료관심병불은정형심교통림상료효。방법：선취2010년3월지2013년3월재아과주원치료환자258례，수궤분위대조조화치료조。대조조채용서약치료，치료조재대조조기출상가용자의통양서심탕구복。치료4주후진행료효통계분석。결과：재심교통발작차수、지속시간급초산감유용량상，량조자신치료전후비교차이유통계학의의（P＜0.05），재이상3방면급심전도료효、총유효솔방면량조간비교，차이야유통계학의의（P＜0.05）。결론：통양법결합서약치료관심병불은정형심교통우우단순사용서약치료，치득림상추엄。
Objective:To observe the clinical effect of activating Yang method combined with western medicine to treat unstable angina pectoris of coronary heart disease .Methods:The 258 admitted in our department from 2010 March to 2013 March were randomly divid-ed into treatment group and control group .The control group applied western medicine , and the treatment group gave patients extra ap-plication of Tongyangshuxin decoction .Statistical analysis of the effect was made after 4 weeks of treatment .Results:Both group showed significant differences before and after treatment in terms of the frequency of angina attack , duration and dosage of nitroglycerin ( P<0.05);there were also significant differences in terms of the total curative rate , in the above 3 aspects and ECG between the two groups (P<0.05).Conclusion:Activating Yang method combined with western medicine in the treatment of unstable angina pectoris of coro -nary heart disease is better than single application of western medicine treatment , and it is worthy of clinical application .