摘要
目的:观察参香丸穴位贴敷联合化痰活血汤治疗痰浊血瘀型冠心病心绞痛患者的效果。方法:回顾性分析2020年6月至2022年6月该院收治的80例痰浊血瘀型冠心病心绞痛患者的临床资料,根据治疗方式不同将其分为对照组34例与观察组46例。对照组给予化痰活血汤治疗,观察组在对照组基础上联合参香丸穴位贴敷,比较两组临床疗效、治疗前后心功能指标[心肌耗氧量、每搏输出量(SV)、心输出量(CO)、心肌加速指数(ACI)]水平、血液流变学指标(全血高切黏度、全血低切黏度、血浆黏度、血细胞比容、纤维蛋白原)水平、心绞痛发作频率和持续时间,以及不良反应发生率。结果:观察组治疗总有效率为95.65%(44/46),高于对照组的76.47%(26/34),差异有统计学意义(P<0.05);治疗后,两组心肌耗氧量均低于治疗前,且观察组低于对照组,两组SV、CO、ACI水平均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组全血高切黏度、全血低切黏度、血浆黏度、血细胞比容和纤维蛋白原水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组心绞痛发作频率均低于治疗前,且观察组低于对照组,两组发作持续时间均短于治疗前,且观察组短于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:参香丸穴位贴敷联合化痰活血汤治疗痰浊血瘀型冠心病心绞痛患者可提高治疗总有效率,改善心功能指标水平,缩短心绞痛发作持续时间,降低心绞痛发作频率、血液流变学指标水平和不良反应发生率,其效果优于化痰活血汤治疗。
Objective:To observe effects of Shenxiang pill acupoint application combined with Huatan Huoxue decoction in treatment of coronary heart disease angina pectoris of turbid phlegm and blood stasis type.Methods:The clinical data of 80 patients with coronary heart disease angina pectoris of turbid phlegm and blood stasis type admitted to this hospital from June 2020 to June 2022 were retrospectively analyzed.According to different treatment methods,they were divided into control group(34 cases)and observation group(46 cases).The control group was treated with Huatan Huoxue decoction,while the observation group was combined with Shenxiang pill acupoint application on the basis of that of the control group.The clinical efficacy,the levels of cardiac function indexes[myocardial oxygen consumption,stroke volume(SV),cardiac output(CO),myocardial acceleration index(ACI)]before and after the treatment,the levels of hemorheology indexes(whole blood high shear viscosity,whole blood low shear viscosity,plasma viscosity,hematocrit,fibrinogen),the frequency and the duration of angina pectoris,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the observation group was 95.65%(44/46),which was higher than 76.47%(26/34)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the myocardial oxygen consumption of the two groups was lower than that before the treatment,and that of the observation group was lower than that of the control group;the levels of SV,CO and ACI in the two groups were higher than those before the treatment,and those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).The whole blood high shear viscosity,whole blood low shear viscosity,the plasma viscosity,the hematocrit and the fibrinogen levels in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control
作者
龚妍
GONG Yan(Jiamusi City Hospital of Traditional Chinese Medicine,Jiamusi 154002 Heilongjiang,China)
出处
《中国民康医学》
2023年第15期106-109,共4页
Medical Journal of Chinese People’s Health
关键词
参香丸
穴位贴敷
化痰活血汤
痰浊血瘀型
冠心病心绞痛
血液流变学
心功能
Shenxiang pills
Acupoint application
Phlegm and blood circulation soup
Turbid phlegm and blood stasis type
Coronary heart disease angina pectoris
Hemorheology
Cardiac function
