世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2014年
27期
18-19
,共2页
桂枝茯苓汤%不稳定性心绞痛%瘀热相搏%临床疗效
桂枝茯苓湯%不穩定性心絞痛%瘀熱相搏%臨床療效
계지복령탕%불은정성심교통%어열상박%림상료효
Guizhi Fuling decoction%unstable angina%stagnated heat%clinical efficacy
目的：观察桂枝茯苓汤在不稳定性心绞痛瘀热相搏证患者的临床疗效。方法选择我院2012年4月至2013年6月期间收治的120例不稳定性心绞痛瘀热相搏证患者为对象，随机分为治疗组和对照组，治疗组患者共60例给予西药常规治疗，对照组共60例在西药常规治疗的基础上加服桂枝茯苓汤剂。四周为一个疗程，记录中医证候、心绞痛疗效、心电图疗效。结果治疗4周后，治疗组和对照组在中医症候疗效、心绞痛疗效、心电图疗效方面较治疗前均有明显改善；治疗后，治疗组在心绞痛疗效、心电图疗效、中医证候疗效方面明显优于对照组，组件比较存在显著差异，具有统计学意义（P<0.05或P<0.01）。结论桂枝茯苓汤能明显减少不稳定型心绞痛瘀热相搏证患者的心绞痛发作，改善患者心电图总有效率，提高患者中医证候疗效。
目的：觀察桂枝茯苓湯在不穩定性心絞痛瘀熱相搏證患者的臨床療效。方法選擇我院2012年4月至2013年6月期間收治的120例不穩定性心絞痛瘀熱相搏證患者為對象，隨機分為治療組和對照組，治療組患者共60例給予西藥常規治療，對照組共60例在西藥常規治療的基礎上加服桂枝茯苓湯劑。四週為一箇療程，記錄中醫證候、心絞痛療效、心電圖療效。結果治療4週後，治療組和對照組在中醫癥候療效、心絞痛療效、心電圖療效方麵較治療前均有明顯改善；治療後，治療組在心絞痛療效、心電圖療效、中醫證候療效方麵明顯優于對照組，組件比較存在顯著差異，具有統計學意義（P<0.05或P<0.01）。結論桂枝茯苓湯能明顯減少不穩定型心絞痛瘀熱相搏證患者的心絞痛髮作，改善患者心電圖總有效率，提高患者中醫證候療效。
목적：관찰계지복령탕재불은정성심교통어열상박증환자적림상료효。방법선택아원2012년4월지2013년6월기간수치적120례불은정성심교통어열상박증환자위대상，수궤분위치료조화대조조，치료조환자공60례급여서약상규치료，대조조공60례재서약상규치료적기출상가복계지복령탕제。사주위일개료정，기록중의증후、심교통료효、심전도료효。결과치료4주후，치료조화대조조재중의증후료효、심교통료효、심전도료효방면교치료전균유명현개선；치료후，치료조재심교통료효、심전도료효、중의증후료효방면명현우우대조조，조건비교존재현저차이，구유통계학의의（P<0.05혹P<0.01）。결론계지복령탕능명현감소불은정형심교통어열상박증환자적심교통발작，개선환자심전도총유효솔，제고환자중의증후료효。
Objective To evaluate and study the effect of Guizhi Fuling decoction on the clinical efficacy of unstable angina patients with stagnated heat syndrome. Methods 120 unstable angina patients with stagnated heat syndrome admitted from april 2012 to June 2013 in our hospital were randomly divided into treatment group and control group. Patients in control group received the conventional standardized treatment of western medicine, while patients in the treatment group were given Guizhi Fuling decoction on the basis of the treatment in the control group, 4 weeks as a treatment course. The changes of TCM syndrome, the efficacy of angina and the changes of ECG were all observed in the two groups. Results: After 4 weeks treatment, the general efficacy on tcM symptoms, the angina symptom and the changes of ecG were improved significantly in two groups. However, these indexed were all improved better in treatment group than that in control group. The efficacy differences were statistically significant(P<0.05 or P<0.01). Conclusion Guizhi Fuling decoction can significantly improve the angina symptoms of unstable angina patients with the syndrome of stagnated heat and the ecG manifestation, and also increase the general efficacy on TCM syndrome.
