CAJ | 학술논문

目的：通过化痰活血中药结合西药治疗冠心病心绞痛病人，观察冠心病心绞痛与血浆同型半胱氨酸（Hcy）水平的关系，确定化痰活血中药对血管内粥样板块的治疗作用。方法：82例病人随机分为对照组和治疗组，对照组采用纯西药，治疗组除西药外加用化痰活血中药，观察血浆同型半胱氨酸水平的变化。结果：对照组同型半胱氨酸水平治疗后较治疗组高(0.01< P<0.05)，但比治疗前低(P<0.01），治疗组治疗后亦较治疗前低(P<0.01)。结论：加用化痰活血中药比单纯运用西药降低血浆同型半胱氨酸水平效果明显，两种治疗方法均可通过降低同型半胱氨酸水平，减小血管内粥样斑块，缓解心绞痛症状。
목적：통과화담활혈중약결합서약치료관심병심교통병인，관찰관심병심교통여혈장동형반광안산（Hcy）수평적관계，학정화담활혈중약대혈관내죽양판괴적치료작용。방법：82례병인수궤분위대조조화치료조，대조조채용순서약，치료조제서약외가용화담활혈중약，관찰혈장동형반광안산수평적변화。결과：대조조동형반광안산수평치료후교치료조고(0.01< P<0.05)，단비치료전저(P<0.01），치료조치료후역교치료전저(P<0.01)。결론：가용화담활혈중약비단순운용서약강저혈장동형반광안산수평효과명현，량충치료방법균가통과강저동형반광안산수평，감소혈관내죽양반괴，완해심교통증상。
Objective:To observe the relationship between CAD and Hcy by the treatment of resolving phlegm and promoting blood circulation combined with western medicinein order to make sure the curative effect of TCM on CAD. Method: 82 cases were randomly divided into a control group and a treatment group. Patients in the control group were treated with western medicine, while patients in the treatment group were treated with Chinese medicine with the function of resolving phlegm and promoting blood circulation based on the western medicine. The changes of Hyc level of the two groups were observed. Results:The Hyc level of the control group was higher than that of the treatment group (0.01<P<0.05)?but it was lower than preceding therapy, (P<0.01), the treatment group was also lower than preceding therapy(P<0.01).Conclusion:Chinese medicine of resolving phlegm and promoting blood circulation can decline the level of Hyc, diminish the atheromatous plaque in coronary artery and release symptom of angina pectoris.