湖北中医药大学学报
湖北中醫藥大學學報
호북중의약대학학보
Journal of Hubei University of Chinese Medicine
2015年
5期
16-18
,共3页
冠心病心绞痛%中西医结合疗法%苦碟子注射液%血脂
冠心病心絞痛%中西醫結閤療法%苦碟子註射液%血脂
관심병심교통%중서의결합요법%고설자주사액%혈지
coronary heart disease angina%combine traditional Chinese and western medicine therapy%Kudiezi injection%blood fat
目的：观察苦碟子注射液联合常规西医疗法运用于冠心病心绞痛的临床疗效。方法将符合纳入标准的冠心病心绞痛患者60例随机分为试验组、对照组各30例。两组均常规给予改善心肌供血药物和抗栓药物单硝酸异山梨酯、阿司匹林及阿托伐他汀等，试验组在此基础上加用苦碟子注射液，疗程均为14d。主要观察患者治疗前后的心绞痛症状改善情况、中医证候疗效、心电图改善情况、血脂变化。结果两组心绞痛症状均有所缓解，且试验组较对照组症状缓解明显（P＜0．05）；两组中医证候疗效比较，试验组优于对照组（P＜0．05）；两组心电图表现均有改善，且试验组有效率高于对照组（P＜0．05）；两组治疗前后血脂指标均有改善，且试验组较对照组改善明显（P ＜0．01）。结论在常规西药治疗基础上加用苦碟子注射液治疗冠心病心绞痛，能有效减轻患者心绞痛的症状，改善血脂等指标，较单用西药为优。
目的：觀察苦碟子註射液聯閤常規西醫療法運用于冠心病心絞痛的臨床療效。方法將符閤納入標準的冠心病心絞痛患者60例隨機分為試驗組、對照組各30例。兩組均常規給予改善心肌供血藥物和抗栓藥物單硝痠異山梨酯、阿司匹林及阿託伐他汀等，試驗組在此基礎上加用苦碟子註射液，療程均為14d。主要觀察患者治療前後的心絞痛癥狀改善情況、中醫證候療效、心電圖改善情況、血脂變化。結果兩組心絞痛癥狀均有所緩解，且試驗組較對照組癥狀緩解明顯（P＜0．05）；兩組中醫證候療效比較，試驗組優于對照組（P＜0．05）；兩組心電圖錶現均有改善，且試驗組有效率高于對照組（P＜0．05）；兩組治療前後血脂指標均有改善，且試驗組較對照組改善明顯（P ＜0．01）。結論在常規西藥治療基礎上加用苦碟子註射液治療冠心病心絞痛，能有效減輕患者心絞痛的癥狀，改善血脂等指標，較單用西藥為優。
목적：관찰고설자주사액연합상규서의요법운용우관심병심교통적림상료효。방법장부합납입표준적관심병심교통환자60례수궤분위시험조、대조조각30례。량조균상규급여개선심기공혈약물화항전약물단초산이산리지、아사필림급아탁벌타정등，시험조재차기출상가용고설자주사액，료정균위14d。주요관찰환자치료전후적심교통증상개선정황、중의증후료효、심전도개선정황、혈지변화。결과량조심교통증상균유소완해，차시험조교대조조증상완해명현（P＜0．05）；량조중의증후료효비교，시험조우우대조조（P＜0．05）；량조심전도표현균유개선，차시험조유효솔고우대조조（P＜0．05）；량조치료전후혈지지표균유개선，차시험조교대조조개선명현（P ＜0．01）。결론재상규서약치료기출상가용고설자주사액치료관심병심교통，능유효감경환자심교통적증상，개선혈지등지표，교단용서약위우。
Abstracts:Objective To observe the clinical effect of Kudiezi injection combined with conventional western medicine in treatment of coronary heart disease angina.Methods 60 cases of coronary heart disease angina that meeting the inclusion criteria were randomly divided into two groups:30 cases in test group and 30 cases in control group.The two groups were given routine to improve myocardial blood supply and antithrombotic drugs, such as isosorbide mononitrate, aspirin and atorvastatin drugs, test group was added Kudiezi injection on this ba-sis, 14 days as a course.The improvement of angina pectoris, TCM syndromes, electrocardiogram and blood lipid changes were mainly ob-served before and after treatment.Results The symptoms of angina in the two groups were relieved, and the test group were significantly low-er than that of the control group (P<0.05);the efficacy of TCM in test group was better than that of the control group (P<0.05);the the ECG of the two groups was improved, and the test group was more effective than the control group ( P<0.05);the blood lipid index of the two groups were improved, and the test group was significantly improved compared with the control group (P<0.01).Conclusions Com-pared with the conventional western medicine,the Kudiezi injection combined with conventional western medicine can effectively relieve angi-na symptoms and improve the lipid parameters.
