中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
1期
180-182
,共3页
翁锦龙%郑直%段晓巧%林培森%赵利
翁錦龍%鄭直%段曉巧%林培森%趙利
옹금룡%정직%단효교%림배삼%조리
增强型体外反搏%冠心病%不稳定型心绞痛%痰瘀闭阻
增彊型體外反搏%冠心病%不穩定型心絞痛%痰瘀閉阻
증강형체외반박%관심병%불은정형심교통%담어폐조
Enhanced external counterpulsation%Coronary heart disease%Unstable angina pectoris%Phlegm-Stagnancy
目的:观察增强型体外反搏(EECP)联合中医辨证(痰瘀闭阻)治疗冠心病不稳定性心绞痛(UA)的疗效。方法随机分为对照组、药物治疗组和反搏治疗组。对照组常规西药加EECP;药物治疗组常规西药加中药化痰活血、理气宽胸法治疗;反搏治疗组在常规西药加中药治疗基础上再加EECP。12天为一疗程,增强型体外反搏1小时/次,连续治疗3疗程。观察治疗前后心绞痛症状改善和心电图变化以及不良反应发生情况。结果所有治疗组心绞痛症状改善和心电图变化均有所改善,对照组、药物治疗组疗效相近,反搏治疗组疗效优于对照组、药物治疗组。结论增强型体外反搏联合中医治疗冠心病不稳定性心绞痛的疗效更高,各组均无不良事件发生。
目的:觀察增彊型體外反搏(EECP)聯閤中醫辨證(痰瘀閉阻)治療冠心病不穩定性心絞痛(UA)的療效。方法隨機分為對照組、藥物治療組和反搏治療組。對照組常規西藥加EECP;藥物治療組常規西藥加中藥化痰活血、理氣寬胸法治療;反搏治療組在常規西藥加中藥治療基礎上再加EECP。12天為一療程,增彊型體外反搏1小時/次,連續治療3療程。觀察治療前後心絞痛癥狀改善和心電圖變化以及不良反應髮生情況。結果所有治療組心絞痛癥狀改善和心電圖變化均有所改善,對照組、藥物治療組療效相近,反搏治療組療效優于對照組、藥物治療組。結論增彊型體外反搏聯閤中醫治療冠心病不穩定性心絞痛的療效更高,各組均無不良事件髮生。
목적:관찰증강형체외반박(EECP)연합중의변증(담어폐조)치료관심병불은정성심교통(UA)적료효。방법수궤분위대조조、약물치료조화반박치료조。대조조상규서약가EECP;약물치료조상규서약가중약화담활혈、리기관흉법치료;반박치료조재상규서약가중약치료기출상재가EECP。12천위일료정,증강형체외반박1소시/차,련속치료3료정。관찰치료전후심교통증상개선화심전도변화이급불량반응발생정황。결과소유치료조심교통증상개선화심전도변화균유소개선,대조조、약물치료조료효상근,반박치료조료효우우대조조、약물치료조。결론증강형체외반박연합중의치료관심병불은정성심교통적료효경고,각조균무불량사건발생。
ObjectiveTo observe the effect of enhanced external counterpulsation (EECP) combined with TCM syndrome (phlegm and blood stasis obstructing) in treatment of unstable angina pectoris (UA).Methods Randomly divided into control group, medication group and ECP treatment group. The control group was treated with routine western medicine plus EECP, drug treatment group was treated with routine western medicine and traditional Chinese medicine phlegm and promoting blood circulation, regulating qi Kuanxiong therapy, counterpulsation in the treatment group based on conventional western medicine and traditional Chinese medicine treatment plus EECP. 12 days for a course of treatment, enhanced external counterpulsation 1 hour/ times, continuous treatment of 3 courses. Observed the angina pectoris of improving symptoms and ECG changes and the occurrence of adverse reactions before and after treatment.Results All treatment groups of angina pectoris symptoms and ECG changes were improved, the control group, drug treatment group curative effect close, counter pulsation therapy group was better than control group, drug group.Conclusion The therapeutic effect of enhanced external counter pulsation combined with traditional Chinese medicine treatment is good, and no adverse events occured.