摘要
目的观察益气活血化痰方对老年糖尿病性冠心病的临床疗效。方法采用随机数字表法将68例患者随机分为两组各34例，对照组给予常规西药治疗，治疗组在对照组治疗基础上加益气活血化痰方治疗，两组均治疗60d为1个疗程，疗程结束后比较心绞痛疗效，中医症状积分，心电图疗效（ECG）及空腹血糖（FPG）、餐后2小时血糖（2hPG）、总胆固醇（TC）、甘油三脂（TG）、低密度脂蛋白胆固醇（LDL．C）、高密度脂蛋白胆固醇（HDL-C）、血液流变学指标（全血黏度低切、全血黏度高切、血浆黏度、红细胞聚集指数、红细胞变形指数）等指标。结果治疗组治疗后心绞痛疗效的总有效率明显高于对照组，差异有统计学意义（x2=4．53，P〈0．05）；心电图疗效的总有效率亦明显高于对照组，差异有统计学意义（x2=4．12，P〈0．05）。结论益气活血化痰方可缓解老年糖尿病冠心病患者的心绞痛，改善心电图及临床症状。
Objective To observe the effect ofYiqi Huoxuehuatan Recipe in treating elderly diabetic coronary heart disease. Methods 68 patients with elderly diabetic coronary-heart disease were randomly assigned to the treatment group （34 patients） and control group （34 patients）. The former received a routine western medicine treatment plus Yiqi Huoxuehuatan Recipe, one dose per day; while the latter group received a routine western medicine treatment only, both treated for a course of 60 days. When the treatments were finished, angina curing effect, alleviation of main symptoms, ECG; FPG, 2hPG, HbAlc, TC, TG LDL-C, HDL-C, and indicators of blood rheology （low shear whole blood viscosity, plasma viscosity, RBC aggregation index, RBC deformation index） were compared. Results Changes in angina curing effect, alleviation of main symptoms, ECG lipid and indicators of blood theology were significant （X2=4.53, 4.12, P〈0.05） between the two groups. Conclusion Yiqi Huoxuehuatan Recipe has an obvious clinical effect in treating elderly diabetic coronary heart disease by improving clinical effect, helping in alleviation of angina, ameliorating lipid metabolism disorder and correcting the abnormal indicators of blood rheology.
出处
《国际中医中药杂志》
2011年第7期577-580,共4页
International Journal of Traditional Chinese Medicine
关键词
益气活血化痰方
老年糖尿病冠心病
中医治疗
Yiqi Huoxuehuatan Recipe
Elderly diabetic coronary heart disease
Chinese medical treatment
