浙江中医药大学学报
浙江中醫藥大學學報
절강중의약대학학보
JOURNAL OF ZHEJIANG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2015年
5期
351-354
,共4页
胸痹%益气活血%中医药调摄%发病次数%持续时间
胸痺%益氣活血%中醫藥調攝%髮病次數%持續時間
흉비%익기활혈%중의약조섭%발병차수%지속시간
angina%tonifying qi and activating blood%TCM regulation%the number of attacking%the duration of the disease
[目的]观察益气活血方联合调摄干预治疗气虚血瘀型胸痹的临床效果。[方法]将210例患有胸痹的患者按照随机分配原则分为对照1组（60例）、对照2组（60例）和观察组（90例）。在急性期，对照1组、对照2组和观察组均给予硝酸甘油含服。在缓解期，对照1组给予常规西医治疗，对照2组给予西药联合益气活血方治疗，观察组在对照2组治疗基础上予以调摄干预治疗。治疗6周后，观察比较3组患者治疗前后发病次数、症状持续时间及临床疗效。[结果]（1）治疗后发病次数及症状持续时间比较：组间比较，观察组发病次数（0．7±0．3）次/月少于对照1组的发病次数（1．0±0．4）次/月（P<0．05），对照2组发病次数（0．8±0．4）次/月也少于对照1组（P<0．05）；观察组的症状持续时间与对照1组、对照2组比较，均无统计学差异（P＞0．05）。组内比较，治疗后3组的发病次数和症状持续时间与治疗前比较均有明显下降（P<0．05）。（2）3组治疗后疗效比较：治疗后，对照1组总有效率为75．00%，对照2组总有效率85．00%，观察组总有效率为91．11%，3组两两比较差异有统计学意义（P<0．05或P<0．01）。[结论]益气活血方联合调摄干预在治疗气虚血瘀型胸痹可降低发病次数、缓解患者症状方面，本研究结果显效最明显，值得临床中大样本进一步研究。
[目的]觀察益氣活血方聯閤調攝榦預治療氣虛血瘀型胸痺的臨床效果。[方法]將210例患有胸痺的患者按照隨機分配原則分為對照1組（60例）、對照2組（60例）和觀察組（90例）。在急性期，對照1組、對照2組和觀察組均給予硝痠甘油含服。在緩解期，對照1組給予常規西醫治療，對照2組給予西藥聯閤益氣活血方治療，觀察組在對照2組治療基礎上予以調攝榦預治療。治療6週後，觀察比較3組患者治療前後髮病次數、癥狀持續時間及臨床療效。[結果]（1）治療後髮病次數及癥狀持續時間比較：組間比較，觀察組髮病次數（0．7±0．3）次/月少于對照1組的髮病次數（1．0±0．4）次/月（P<0．05），對照2組髮病次數（0．8±0．4）次/月也少于對照1組（P<0．05）；觀察組的癥狀持續時間與對照1組、對照2組比較，均無統計學差異（P＞0．05）。組內比較，治療後3組的髮病次數和癥狀持續時間與治療前比較均有明顯下降（P<0．05）。（2）3組治療後療效比較：治療後，對照1組總有效率為75．00%，對照2組總有效率85．00%，觀察組總有效率為91．11%，3組兩兩比較差異有統計學意義（P<0．05或P<0．01）。[結論]益氣活血方聯閤調攝榦預在治療氣虛血瘀型胸痺可降低髮病次數、緩解患者癥狀方麵，本研究結果顯效最明顯，值得臨床中大樣本進一步研究。
[목적]관찰익기활혈방연합조섭간예치료기허혈어형흉비적림상효과。[방법]장210례환유흉비적환자안조수궤분배원칙분위대조1조（60례）、대조2조（60례）화관찰조（90례）。재급성기，대조1조、대조2조화관찰조균급여초산감유함복。재완해기，대조1조급여상규서의치료，대조2조급여서약연합익기활혈방치료，관찰조재대조2조치료기출상여이조섭간예치료。치료6주후，관찰비교3조환자치료전후발병차수、증상지속시간급림상료효。[결과]（1）치료후발병차수급증상지속시간비교：조간비교，관찰조발병차수（0．7±0．3）차/월소우대조1조적발병차수（1．0±0．4）차/월（P<0．05），대조2조발병차수（0．8±0．4）차/월야소우대조1조（P<0．05）；관찰조적증상지속시간여대조1조、대조2조비교，균무통계학차이（P＞0．05）。조내비교，치료후3조적발병차수화증상지속시간여치료전비교균유명현하강（P<0．05）。（2）3조치료후료효비교：치료후，대조1조총유효솔위75．00%，대조2조총유효솔85．00%，관찰조총유효솔위91．11%，3조량량비교차이유통계학의의（P<0．05혹P<0．01）。[결론]익기활혈방연합조섭간예재치료기허혈어형흉비가강저발병차수、완해환자증상방면，본연구결과현효최명현，치득림상중대양본진일보연구。
Objective] To evaluate the therapeutic effect of treatment with tonifying qi and activating blood Chinese medicine combined with cultivate intervention therapy for angina. [Methods]210 patients with angina were divided into three groups: the control group 1 (60), control group 2 (60) and observation group(90), in accordance with the principle of randomization. There were 90 patients in each group. In the acute stage, the control group and observation group were given nitroglycerin administering. In remission stage, the control group were treated with conventional western medicine treatment, the observation group was added with the therapy tonifying qi and activating blood Chinese medicine. The course was six weeks. The extent and attacking times and the duration of the disease were compared after the treatment. [Results] (1)After treatment, the attack times and duration times of the symptom were reduced in two groups(P<0.05). Attack times in the observation group was (0.7±0.3) per month ,while in the control group was (1.0±0.4) per month. There had an obvious difference between two groups(P<0.05). There had no difference between two groups on the duration times(P>0.05). (2) After treatment, in the control group1, the total effective rate was 75.00%, in the control group 2, the total effective rate was 85.00%,while in the observation group, the total effective rate was 91.11%. There had an obvious difference among three groups(P<0.05 or P<0.01). [Conclusion] The treatment with tonifying qi and activating blood Chinese medicine combined with intervention therapy can reduce patients' attack times, relieve their symptoms on improving the effect of angina, worth large-sample study in clinic.
