摘要
目的探讨中药活血行气汤联合西药治疗老年气滞血瘀型冠心病心绞痛临床效果。方法选取我院(2015年1月至2017年1月)收治的90例老年气滞血瘀型冠心病心绞痛患者分为两组,对照组(n=45)给予西药治疗,观察组(n=45)在对照组基础上给予中药汤剂治疗,对比两组患者临床疗效、治疗前后心绞痛发作频率和持续时间、血液流变学指标、血脂指标以及不良反应发生率。结果两组患者临床疗效对比93.33%vs77.78%差异明显,具有统计学意义(P<0.05)。治疗后观察组患者心绞痛发作频率及持续时间均低于对照组,差异具有统计学意义(P<0.05)。治疗后观察组患者PADT、HCT、LDL-C、TG、TC水平明显低于对照组,HDL-C水平明显高于对照组,差异具有统计学意义(P<0.05)。两组患者不良反应发生率对比1.11%vs13.33%差异不明显,无统计学意义(P>0.05)。结论中药活血行气汤联合西药治疗老年气滞血瘀型冠心病心绞痛临床效果好,还具有较高的安全性,因此值得临床推广。
Objective To explore the clinical effect of Huoxue Xingqi Decoction combined with western medicine in the treatment of angina pectoris of senile coronary heart disease with qi stagnation and blood stasis.Methods Ninety elderly patients with angina pectoris of Qi stagnation and blood stasis type were divided into two groups.The control group(n=45)was treated with western medicine and the observation group(n=45)was treated with traditional Chinese medicine decoction on the basis of the control group.The clinical efficacy,frequency and duration of angina pectoris attack,hemorheological indexes and blood lipid finger were compared between the two groups.Standard and incidence of adverse reactions.Result The clinical efficacy of the two groups was 93.33%vs 77.78%.The difference was significant(P<0.05).After treatment,the frequency and duration of angina pectoris in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of PADT,HCT,LDL-C,TG and TC in the observation group were significantly lower than those in the control group,while the levels of HDL-C in the observation group were significantly higher than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(1.11%vs 13.33%,P>0.05).Conclusion Huoxue Xingqi Decoction combined with western medicine has good clinical effect and high safety in the treatment of senile coronary heart disease angina pectoris of qi stagnation and blood stasis type,so it is worthy of clinical promotion.
作者
孟淑芹
芦莉
MENG Shu-qin;LU Li(Liaocheng People's Hospital, Liaocheng 252000, China;Liaocheng Veterans Hospital, Liaocheng 252000, China)
出处
《中国医药指南》
2019年第14期32-33,共2页
Guide of China Medicine
关键词
中药
活血行气汤
西药
老年
气滞血瘀型
冠心病
心绞痛
安全性
Traditional Chinese Medicine
Huoxue Xingqi Decoction
Western Medicine
Old Age
Qi Stagnation and Blood Stasis Type
Coronary Heart Disease
Angina Pectoris
Safety
