经方合用治疗冠状动脉粥样硬化性心脏病不稳定型心绞痛合并焦虑症30例  

30 Cases of Unstable Angina of Coronary Atherosclerotic Heart Disease and Anxiety Treated with Chaihu plus Longgu Muli Decoction and Ganmai Dazao Decoction

作　　者：李刘英[1] 郑刚[1] 侯朝钋[1] 

机构地区：[1]自贡市第一人民医院,四川自贡643000

出　　处：《河南中医》2013年第9期1439-1441,共3页Henan Traditional Chinese Medicine

摘　　要：目的:观察柴胡加龙骨牡蛎汤合甘麦大枣汤加减治疗冠状动脉粥样硬化性心脏病不稳定型心绞痛合并焦虑症的临床疗效。方法:选取冠状动脉粥样硬化性心脏病不稳定型心绞痛合并焦虑症患者60例,随机分为对照组和治疗组各30例。对照组给予常规抗血小板聚集、抗凝、扩张血管、调节血脂等,治疗组在对照组的基础上加用柴胡加龙骨牡蛎汤合甘麦大枣汤加减治疗,两组均治疗4周。结果:两组患者临床症状明显改善,且治疗组优于对照组(P<0.05);治疗组总有效率为86.7%,对照组总有效率为66.7%,治疗组优于对照组(P<0.05)。结论:柴胡加龙骨牡蛎汤合甘麦大枣汤加减治疗冠心病不稳定型心绞痈合并焦虑症疗效显著。Objective： To observe the therapeutic effect of Chaihu plus Longgu Muli Decoction and Ganmai Dazao Decoction in treating unstable angina of coronary atherosclerotic heart disease and anxiety.Methods： 60 patients with unstable angina of coronary atherosclerotic heart disease and anxiety were randomly divided into control group and treatment group,with 30 cases in each.The control group was given the treatment of conventional antiplatelet,anticoagulation,dilation of blood vessels,regulating blood fat and so on.Based on treatment of the control group,the treatment group was given Chaihu plus Longgu Muli Decoction and Ganmai Dazao Decoction.Both groups were treated for 4 weeks.Results： the clinical symptoms of two groups improved significantly,and the treatment group was superior to the control group（P0.05）.The total effective rate of treatment group was 86.7%,the total effective rate of control group was 66.7%,the treatment group was superior to the control group（P0.05）.Conclusion： Chaihu plus Longgu Muli Decoction and Ganmai Dazao Decoction has a significant effect in treating unstable angina of coronary atherosclerotic heart disease and anxiety.

关 键 词：冠状动脉粥样硬化性心脏病 不稳定型心绞痛 焦虑症 柴胡加龙骨牡蛎汤 甘麦大枣汤 

分 类 号：R541.4[医药卫生—心血管疾病] R749.72[医药卫生—内科学]