通阳法治疗冠心病不稳定型心绞痛临床观察  

Clinical Observation on Activating Yang Method in Treating Unstable Angina Pectoris of Coronary Heart Disease

作　　者：侯新蕊[1] 陈典璇[2] 

机构地区：[1]中国人民解放军总医院心内科,北京100853 [2]中国人民解放军总医院中医科,北京100853

出　　处：《世界中医药》2014年第3期335-337,共3页World Chinese Medicine

基　　金：国家科技支撑计划项目(编号:2009BAI86B04)

摘　　要：目的:观察通阳法结合西药治疗冠心病不稳定型心绞痛临床疗效。方法:选取2010年3月至2013年3月在我科住院治疗患者258例,随机分为对照组和治疗组。对照组采用西药治疗,治疗组在对照组基础上加用自拟通阳舒心汤口服。治疗4周后进行疗效统计分析。结果:在心绞痛发作次数、持续时间及硝酸甘油用量上,两组自身治疗前后比较差异有统计学意义(P<0.05),在以上3方面及心电图疗效、总有效率方面两组间比较,差异也有统计学意义(P<0.05)。结论:通阳法结合西药治疗冠心病不稳定型心绞痛优于单纯使用西药治疗,值得临床推广。Objective： To observe the clinical effect of activating Yang method combined with western medicine to treat unstable angina pectoris of coronary heart disease. Methods： The 258 admitted in our department from 2010 March to 2013 March were randomly divid- ed into treatment group and control group. The control group applied western medicine, and the treatment group gave patients extra ap- plication of Tongyangshuxin decoction. Statistical analysis of the effect was made after 4 weeks of treatment. Results： Both group showed significant differences before and after treatment in terms of the frequency of angina attack, duration and dosage of nitroglycerin （ P 〈 0. 05） ; there were also significant differences in terms of the total curative rate, in the above 3 aspects and ECG between the two groups （ P 〈 0. 05）. Conclusion ： Activating Yang method combined with western medicine in the treatment of unstable angina pectoris of coro- nary heart disease is better than single application of western medicine treatment, and it is worthy of clinical application.

关 键 词：冠心病不稳定型心绞痛 通阳法 中西医结合 

分 类 号：R259[医药卫生—中西医结合] R243[医药卫生—中医内科学]