中国现代药物应用
中國現代藥物應用
중국현대약물응용
CHINESE JOURNAL OF MODERN DRUG APPLICATION
2015年
11期
11-12,13
,共3页
苓桂术甘汤%中西医结合%冠心病心绞痛%临床疗效
苓桂術甘湯%中西醫結閤%冠心病心絞痛%臨床療效
령계술감탕%중서의결합%관심병심교통%림상료효
Lingguizhugan decoction%Integrated Chinese and Western medicines%Coronary heart disease stenocardia%Clinical effect
目的：观察苓桂术甘汤联合西药治疗冠心病心绞痛的治疗效果。方法116例冠心病心绞痛患者随机分为对照组和观察组，每组58例，对照组进行常规西药治疗，观察组在常规治疗基础上加用苓桂术甘汤进行治疗。比较心绞痛症状及心电图改善情况、低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)等血脂指标，判定疗效。结果观察组的心绞痛症状改善总有效率为91.38%，心电图改善总有效率为87.93%，对照组的心绞痛症状改善总有效率为70.69%，心电图改善总有效率为65.52%，两组组间比较，差异均具有统计学意义(P<0.05)。观察组血脂指标TG、TC、LDL-C改善明显，与对照组及治疗前比较，差异均具有统计学意义(P<0.05)。结论苓桂术甘汤联合西药治疗冠心病心绞痛的临床疗效显著，值得推广。
目的：觀察苓桂術甘湯聯閤西藥治療冠心病心絞痛的治療效果。方法116例冠心病心絞痛患者隨機分為對照組和觀察組，每組58例，對照組進行常規西藥治療，觀察組在常規治療基礎上加用苓桂術甘湯進行治療。比較心絞痛癥狀及心電圖改善情況、低密度脂蛋白膽固醇(LDL-C)、甘油三酯(TG)、總膽固醇(TC)、高密度脂蛋白膽固醇(HDL-C)等血脂指標，判定療效。結果觀察組的心絞痛癥狀改善總有效率為91.38%，心電圖改善總有效率為87.93%，對照組的心絞痛癥狀改善總有效率為70.69%，心電圖改善總有效率為65.52%，兩組組間比較，差異均具有統計學意義(P<0.05)。觀察組血脂指標TG、TC、LDL-C改善明顯，與對照組及治療前比較，差異均具有統計學意義(P<0.05)。結論苓桂術甘湯聯閤西藥治療冠心病心絞痛的臨床療效顯著，值得推廣。
목적：관찰령계술감탕연합서약치료관심병심교통적치료효과。방법116례관심병심교통환자수궤분위대조조화관찰조，매조58례，대조조진행상규서약치료，관찰조재상규치료기출상가용령계술감탕진행치료。비교심교통증상급심전도개선정황、저밀도지단백담고순(LDL-C)、감유삼지(TG)、총담고순(TC)、고밀도지단백담고순(HDL-C)등혈지지표，판정료효。결과관찰조적심교통증상개선총유효솔위91.38%，심전도개선총유효솔위87.93%，대조조적심교통증상개선총유효솔위70.69%，심전도개선총유효솔위65.52%，량조조간비교，차이균구유통계학의의(P<0.05)。관찰조혈지지표TG、TC、LDL-C개선명현，여대조조급치료전비교，차이균구유통계학의의(P<0.05)。결론령계술감탕연합서약치료관심병심교통적림상료효현저，치득추엄。
Objective To observe the curative effect of Lingguizhugan decoction combined with Western medicine in the treatment of coronary heart disease stenocardia. Methods A total of 116 patients with coronary heart disease stenocardia were randomly divided into control group and observation group, with 58 cases in each group. The control group received conventional Western medicine. The observation group received additional Lingguizhugan decoction for treatment. Changes of stenocardia symptoms and electrocardiogram improvement, low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), total cholesterol (TC), and high-density lipoprotein cholesterol (HDL-C) were compared for curative effect assessment. Results The observation group had the total effective rate of stenocardia symptoms as 91.38%, total effective rate of electrocardiogram improvement as 87.93%. Those in the control group were respectively 70.69%and 65.52%. The differences between the two groups had statistical significance (P<0.05). The observation group had obviously improved TG, TC, LDL-C than those before treatment and in the control group. The differences all had statistical significance (P<0.05). Conclusion Combination of Lingguizhugan decoction and Western medicine provides precise effect in treating coronary heart disease stenocardia, and this method is worth promotion.
