中医临床研究
中醫臨床研究
중의림상연구
Clinical Journal of Chinese Medicine
2015年
28期
52-54
,共3页
老年%冠心病稳定性心绞痛%补阳还五汤加味%临床治疗体会
老年%冠心病穩定性心絞痛%補暘還五湯加味%臨床治療體會
노년%관심병은정성심교통%보양환오탕가미%림상치료체회
Elderly%Angina pectoris of coronary heart disease%The Buyang Huanwu decoction%Clinical experience
目的:探讨分析采用补阳还五汤加味治疗老年冠心病稳定性心绞痛患者的临床效果.方法:选取我院在2012年1月-2014年12月收治的38例老年冠心病慢性稳定性心绞痛(气虚血瘀证型)患者,按照双盲法随机分为观察组(在常规西医药物治疗的同时配合补阳还五汤加味治疗)和对照组(仅仅采用常规西医药物治疗),将两组患者治疗后心绞痛疗效、心电图疗效、中医证候疗效以及中医证候总积分情况进行对比分析.结果:观察组、对照组患者心绞痛治疗总有效率分别为89.5%、52.6%,观察组心绞痛疗效相对于对照组更佳(P<0.05).观察组患者、对照组患者心电图治疗总有效率分别为 63.2%、26.3%,观察组心电图治疗疗效相对于对照组更佳(P<0.05).观察组、对照组中医证候治疗总有效率分别为 84.2%、52.6%,观察组中医证候疗效相对于对照组更佳(P<0.05).两组患者治疗后中医证候总积分较治疗前均有显著下降(P<0.05),但是观察组患者治疗后中医证候总积分明显低于对照组(P<0.05).结论:对老年冠心病稳定性心绞痛患者采用补阳还五汤加味治疗的临床疗效显著,可有效改善患者的临床症状,值得在临床上推广应用.
目的:探討分析採用補暘還五湯加味治療老年冠心病穩定性心絞痛患者的臨床效果.方法:選取我院在2012年1月-2014年12月收治的38例老年冠心病慢性穩定性心絞痛(氣虛血瘀證型)患者,按照雙盲法隨機分為觀察組(在常規西醫藥物治療的同時配閤補暘還五湯加味治療)和對照組(僅僅採用常規西醫藥物治療),將兩組患者治療後心絞痛療效、心電圖療效、中醫證候療效以及中醫證候總積分情況進行對比分析.結果:觀察組、對照組患者心絞痛治療總有效率分彆為89.5%、52.6%,觀察組心絞痛療效相對于對照組更佳(P<0.05).觀察組患者、對照組患者心電圖治療總有效率分彆為 63.2%、26.3%,觀察組心電圖治療療效相對于對照組更佳(P<0.05).觀察組、對照組中醫證候治療總有效率分彆為 84.2%、52.6%,觀察組中醫證候療效相對于對照組更佳(P<0.05).兩組患者治療後中醫證候總積分較治療前均有顯著下降(P<0.05),但是觀察組患者治療後中醫證候總積分明顯低于對照組(P<0.05).結論:對老年冠心病穩定性心絞痛患者採用補暘還五湯加味治療的臨床療效顯著,可有效改善患者的臨床癥狀,值得在臨床上推廣應用.
목적:탐토분석채용보양환오탕가미치료노년관심병은정성심교통환자적림상효과.방법:선취아원재2012년1월-2014년12월수치적38례노년관심병만성은정성심교통(기허혈어증형)환자,안조쌍맹법수궤분위관찰조(재상규서의약물치료적동시배합보양환오탕가미치료)화대조조(부부채용상규서의약물치료),장량조환자치료후심교통료효、심전도료효、중의증후료효이급중의증후총적분정황진행대비분석.결과:관찰조、대조조환자심교통치료총유효솔분별위89.5%、52.6%,관찰조심교통료효상대우대조조경가(P<0.05).관찰조환자、대조조환자심전도치료총유효솔분별위 63.2%、26.3%,관찰조심전도치료료효상대우대조조경가(P<0.05).관찰조、대조조중의증후치료총유효솔분별위 84.2%、52.6%,관찰조중의증후료효상대우대조조경가(P<0.05).량조환자치료후중의증후총적분교치료전균유현저하강(P<0.05),단시관찰조환자치료후중의증후총적분명현저우대조조(P<0.05).결론:대노년관심병은정성심교통환자채용보양환오탕가미치료적림상료효현저,가유효개선환자적림상증상,치득재림상상추엄응용.
Objective: To discuss clinical effects of the Buyang Huanwu decoction on elderly patients with coronary heart disease stable angina. Methods: 38 cases of coronary heart disease were divided into the observation group and the control group. The observation group was treated with the conventional western medicine plus the Buyang Huanwu decoction; the control group was treated with conventional western medicine. After treatment, angina pectoris, electrocardiogram curative effect, the curative effect of TCM syndrome and TCM syndrome total scores in two groups were compared and analyzed. Results: The total efficiency of angina pectoris in the observation group and the control group were 89.5% and 52.6% respectively; and the observation group was better than the control group (P<0.05). The total efficiency of electrocardiogram treatment in the observation group and the control group were 63.2% and 26.3% respectively; and the observation group was better (P<0.05). The total efficiency in the observation group and the control group were 84.2% and 52.6%; TCM symptoms in the observation group was better (P<0.05). The total score of TCM symptoms in two groups were significantly decreased (P<0.05); but TCM symptoms in the observation group was significantly lower (P<0.05). Conclusion: Treating coronary heart disease in elderly patients with the Buyang Huanwu decoction can receive good effects, is worthy of promotion.
