CAJ | 학술논문

目的：观察调脂汤对冠心病经皮冠状动脉介入术(PCI)后血液流变学及血脂的影响。方法：将100例PCI术后患者随机分为观察组、对照组各50例。2组患者均于PCI术后给予西药常规治疗，观察组加用调脂汤，水煎分服，2次/d。2组均连续治疗1个月，观察2组血液流变学及血脂变化情况。结果：2组治疗后全血高、中、低切黏度，血浆黏度，红细胞压积等指标均明显改善（P＜0.05），治疗后2组比较差异显著（P＜0.05）。2组治疗后血清总胆固醇（TC）、甘油三酯（TG）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）的等指标均明显改善（P＜0.05），且观察组改善优于对照组（P＜0.05）。结论：调脂汤可改善冠心病PCI术后血液流变学、血脂等各项检测指标。
목적：관찰조지탕대관심병경피관상동맥개입술(PCI)후혈액류변학급혈지적영향。방법：장100례PCI술후환자수궤분위관찰조、대조조각50례。2조환자균우PCI술후급여서약상규치료，관찰조가용조지탕，수전분복，2차/d。2조균련속치료1개월，관찰2조혈액류변학급혈지변화정황。결과：2조치료후전혈고、중、저절점도，혈장점도，홍세포압적등지표균명현개선（P＜0.05），치료후2조비교차이현저（P＜0.05）。2조치료후혈청총담고순（TC）、감유삼지（TG）、저밀도지단백담고순（LDL-C）、고밀도지단백담고순（HDL-C）적등지표균명현개선（P＜0.05），차관찰조개선우우대조조（P＜0.05）。결론：조지탕가개선관심병PCI술후혈액류변학、혈지등각항검측지표。
Objective:To observe the influence of TiaoZhi Tang on blood lipid and rheology of the patients with coronary heart disease after PCI. Method: One hundred patients were randomly allocated to the observation group and the control group. Both groups received routine treatment of Western Medicine after PCI, the observation group were also administered with TiaoZhi Tang, water decocted, twice per day. The changes of blood lipid and rhe-ology of both groups were observed after treating for one month. Result:High, moderate and low shear viscosity of whole blood, plasma viscosity, hematocrit and other indexes were improved significantly after treating in both groups(P<0.05), the difference was significant between both groups after treating (P<0.05). Total cholesterol (TC), triglyceride(TG), low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C) and oth-ers were improved obviously in both groups after treating (P<0.05), and the improvements of the observation group were superior to that of the control group (P<0.05). Conclusion:TiaoZhi Tang could improve blood rheology and lipid of the patients with coronary heart disease after PCI.