补肾通阳化瘀法治疗稳定型心绞痛的临床研究
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摘要
目的:观察温阳化瘀汤治疗稳定型心绞痛肾虚痰瘀阻滞证的临床疗效,并探讨其作用机制。方法:随机选择冠心病稳定型劳累性心绞痛Ⅰ~Ⅲ级的患者60例,每组30例。分为治疗组(30例)和对照组(30例)。分别予以补肾通阳化瘀法和养心氏片对照治疗,一个月后观察疗效。结果:稳定型心绞痛总有效率,治疗组为90.0%、对照组为76.7%,治疗组优于对照组(P<0.05);中医证候疗效,治疗组总有效率为93.3%、对照组为70.0%,治疗组优于对照组(P<0.05);心电图疗效,治疗组总有效率为80.0%、对照组总有效率60.0%,治疗组优于对照组(P<0.05)。结论:温阳化瘀汤能明显改善稳定型心绞痛患者的临床症状,提高临床疗效。显著改善血脂代谢紊乱,改善心电图疗效。并在一定程度上促进血栓的溶解,最终达到抗心肌缺血、缺氧,保护心室功能,防止心绞痛发作,本研究结果为稳定型心绞痛的防治提供了新的思路和方法。
Purpose:Observe the Yu soup of anodizing to cure to stabilize a type an angina pectoris kidney falsely the phlegm Yu block Zhi the clinical curative effect of the certificate, and inquire into it acting a machining.Method:Random select coronary stabilization type tired sex angina pectorisⅠ~the sufferer ofⅢclass is 60, each 30.Is divided into treatment set(is 30) and matched control.(is 30)Restore virility an anodizing Yu law and cultivate mental calm a surname slab respectively collate to cure and observe curative effect after a month.Result:Stable type the angina pectoris is always efficient, the treatment set is a 90.0%, matched control is 76.7%, treatment set better than matched control;(P<0.05)The Chinese medicine certificate waits curative effect, the treatment set is always efficient for the 93.3%, matched control for 70.0%, treatment set better than matched control;(P<0.05)Electrocardiogram curative effect, the treatment set is always efficient to is always efficient 80.0%, matched control 60.0%, treatment set better than matched control.(P<0.05) Conclusion:The Yu soup of anodizing can obviously improve the clinical symptom of stabilized angina pectoris sufferer and raise clinical curative effect.Show Zhao improvement the blood fat metabolism mess, improve electrocardiogram curative effect.Combine to promote to some extent the dissolution that the blood bolts, finally hit an anti- myocardial to lack blood, anoxia, protect ventricles function, keep angina pectoris from going into action, this search result for stabilized the prevention and cure of type angina pectoris to provide new way of thinking and method.
引文
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