调脾护心法治疗心脏微血管病变(X综合征)的远期疗效观察  

Therapeutic Observation on the Method of Regulating the Spleen to Protect the Heart in Treating Myocardial Microvascular Lesion

作　　者：吴焕林[1] 胡丽娜[1] 

机构地区：[1]广东省中医院心脏中心,广东广州510120

出　　处：《河南中医》2009年第1期45-46,共2页Henan Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划973计划子课题(编号:2005CB523502)

摘　　要：目的：观察“调脾护心法”治疗心脏微血管病变（X综合征）的远期疗效。方法：选择56例住院诊断为x综合征且出院后长期接受“调脾护心法”治疗的心血管病患者，对其进行电话随访，观察远期疗效。结果：共随访到21例，随访率为37．5％，失访原因为电话号码变更。随访0．5～5a，平均2．3a，未见因心脏原因死亡者。19例长期服中药的患者中，4例（21％）心绞痛症状消失，15例（79％）症状好转。未发生心肌梗死，无因心脏病病情加重再次入院者。结论：调脾护心法对x综合征有较好的治疗作用。Objective： To observe the long-term therapeutic effect of the method of regulating the spleen to protect the heart on X syndrome （myocardial mierovasculay lesion）. Methods： 56 cases of in-patients diagnosed as X syndrome in Center for Heart Disease of Guangdong TCM Hospital from 2003 to 2008 were chosen as phonecall revisit objects, who have had long-term outpatient TCM service after being discharged from hospital. The method of regulating the spleen to protect the heart was applied （ patients were givern Chinese medicine or patent medicine） to disclose its effect on the improvement of symptoms of X syndrome. Results： 21 eases received phonecall revisits, the revisit rate was 37.5%. Since the other objects changed their phone number, the revisit failed. The revisit time was from 0.5 y to 5 y, the average was 2.3 y, no patient died of heart disease. Among 19 patients who took Chinese medicine, 4 case （21% ） had no symtoms of angina pectoris, 15 cases （79%） had improved symtoms of angina pectoris. There existed no myocardial infarction patientS or patients who were taken to hospital again for the deterioration of disease. Conclusion： The method of regulating the spleen to protect the heart has a certain therapeutic effect on X syndrome.

关 键 词：调脾护心法 邓铁涛 心脏微血管病变 心脏X综合征 胸痹心痛 远期疗效 

分 类 号：R256.22[医药卫生—中医内科学]