摘要
目的探讨经皮冠状动脉介入治疗(PCI)术后心绞痛痰瘀阻络证患者采用菖远护心汤联合西药综合治疗的效果。方法选取痰瘀阻络型冠心病患者76例,按分层随机分组法分为观察组和常规组,每组38例。常规组予以常规西医治疗,观察组在常规组治疗基础上联合菖远护心汤治疗。2组均服药30 d。疗程结束后比较2组疗效、中医证候(包括胸痛、乏力和气滞等症状)评分及血脂[甘油三酯(TG)、总胆固醇(TC)]改善情况。结果观察组疗效优于常规组(P<0.05);治疗后2组的TC和TG水平较治疗前显著下降(P<0.05或P<0.001),且观察组显著低于常规组(均P<0.05);治疗后2组的胸痛、乏力和气滞评分较治疗前显著下降(均P<0.001),且观察组显著低于常规组(均P<0.05)。结论菖远护心汤联合西药综合治疗可改善PCI术后痰瘀阻络证心绞痛患者的临床症状,效果较佳。
Objective To explore the efficacy of Changyuan Huxin decoction combined with Western medicine treatment in angina pectoris patients with phlegm-stasis blocking collaterals after percutaneous coronary intervention(PCI).Methods A total of 76 coronary heart disease patients with phlegm-stasis blocking collaterals were treated with conventional Western medicine alone(conventional group,n=38)or in combination with Changyuan Huxin decoction(observation group,n=38)for 30 days.Curative effect,traditional Chinese medicine signs(chest pain,fatigue and qi stagnation),and blood levels of triglyceride(TG)and total cholesterol(TC)were compared between the two groups.Results The treatment efficacy in observation group was higher than that in conventional group(P<0.05).After treatment,the levels of TC and TG and the scores of chest pain,fatigue and qi stagnation significantly decreased in both groups,and the decrease in observation group was more obvious than that in conventional group(P<0.05 or P<0.001).Conclusion Changyuan Huxin decoction combined with Western medicine can effectively improve the clinical symptoms in angina pectoris patients with phlegm-stasis blocking collaterals after PCI.
作者
刘明顺
LIU Ming-shun(Department of Cardiology,Nanzhao Hospital of Traditional Chinese Medicine,Nanzhao 474650,China)
出处
《实用临床医学（江西）》
CAS
2020年第11期5-7,10,共4页
Practical Clinical Medicine
关键词
心绞痛
痰瘀阻络证
中医
护心汤
angina pectoris
phlegm-stasis blocking collaterals
traditional Chinese medicine
Huxin decoction
