摘要
目的:探讨人参汤加味联合西药治疗冠心病稳定型心绞痛的效果。方法:选取2020年1月—2021年6月北京市丰台区马家堡街道瑞丽江畔社区卫生服务站收治的76例冠心病稳定型心绞痛患者作为研究对象,根据随机数字表法分为观察组与对照组,各38例。对照组给予常规西医治疗,观察组在对照组基础上加用人参汤加味治疗。比较两组中医证候积分、临床疗效、心功能变化、心绞痛发作情况、血脂指标水平、不良反应发生情况。结果:治疗后,两组中医证候积分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P=0.015)。心电图检查结果显示,观察组总有效率高于对照组,差异有统计学意义(P=0.013)。治疗后,观察组心绞痛发作频次少于对照组,症状持续时间短于对照组,差异有统计学意义(P<0.05)。治疗后,观察组总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平低于对照组,高密度脂蛋白胆固醇水平高于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:冠心病稳定型心绞痛患者应用人参汤加味联合西药治疗可取得确切疗效,有利于改善患者心绞痛发作情况,调节患者的血脂水平,且用药安全性较高。
Objective:To explore the effect of modified ginseng decoction combined with western medicine in the treatment of stable angina pectoris of coronary heart disease.Methods:From January 2020 to June 2021,76 patients with stable angina pectoris of coronary heart disease admitted to Ruili Riverside Community Health Service Station of Majiapu Street of Fengtai District of Beijing were selected as the study subjects.They were divided into observation group and control group according to the random number table method,with 38 cases in each group.The control group was given conventional western medicine treatment,and the observation group was treated with modified ginseng decoction on the basis of the control group.The TCM syndrome score,clinical efficacy,cardiac function changes,angina attacks,blood lipid index levels,and adverse reactions of the two groups were compared.Results:After treatment,the TCM syndrome scores in the two groups were lower than those before treatment,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The overall effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.015).The ECG results showed that the total effective rate in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.013).After treatment,the observation group had fewer angina attacks and a shorter duration of symptoms than the control group,and the difference was statistically significant(P<0.05).The levels of total cholesterol,triglyceride,low-density lipoprotein cholesterol in the observation group were lower than those in the control group,and the levels of high-density lipoprotein cholesterol in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0
作者
温燕云
Wen Yan-yun(Ruili Riverside Community Health Service Station of Majiapu Street of Fengtai District,Beijing 100068,China)
出处
《中国社区医师》
2023年第9期70-72,76,共4页
Chinese Community Doctors
关键词
冠心病
稳定型心绞痛
中医
人参汤加味
Coronary heart disease
Stable angina pectoris
Traditional Chinese medicine
Modified ginseng decoction
