中西医结合治疗下肢动脉硬化闭塞症的临床观察  

Clinical Effect of Western Medicine Combined with Traditional Chinese Medicine on Arteriosclerosis Obliterans

作　　者：李杰辉[1] 张春霞[1] 覃文玺[1] 秦耀琮[1] 覃锋[1] 狄钾骐[1] 张力[1] 

机构地区：[1]广西中医药大学第一附属医院,广西南宁530023

出　　处：《中医药导报》2014年第5期12-14,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：广西中医药大学校级课题(P2010026)

摘　　要：目的:观察中西医结合治疗下肢动脉硬化闭塞症的临床疗效。方法:将78例符合诊断及纳入标准的下肢动脉硬化闭塞症患者随机分为对照组36例和治疗组42例,对照组采用抗凝、降脂及改善微循环等治疗,治疗组在对照组基础上予以加味桃红四物汤水煎内服,两组均以15 d为1个疗程。治疗结束后观察两组的临床疗效,并对治疗前后患者血浆Hcy浓度变化进行比较分析。结果:治疗组临床疗效优于对照组,差异有统计学意义(P<0.05);治疗后两组患者症状积分和血浆Hcy浓度均明显下降(P<0.05或P<0.01);两组治疗后症状积分和血浆Hcy浓度比较,治疗组低于对照组(P<0.05)。结论:中西医结合治疗下肢动脉硬化闭塞症具有较好的临床疗效。Objective： To observe the clinical effect of Western medicine combined with Traditional Chinese Medicine on arteriosclerosis obliterans. Methods： The78 cases, in accordance with the diagnostic criteria and inclusion criteria of arterioscle- rosis obliterans, were randomly divided control group （36 cases） and treatment group （42 cases）. Patients were treated with an- ticoagulation, lipid reducing and microcirculation improvement in control group, and Modified Tao-hong Si-wu Decoction plus the treatment as the control group in the treatment group. Clinical Effects of both treatments were observed after treatment; and Hcy concentration before and after treatment was compared. Results： Clinical Effect of treatment group was significantly better than that of control group （P〈0.05）. Symptom score and Hcy concentration were significantly declined in both groups af- ter treatment （P〈0.05 or P〈0.01 ）; and the treatment group showed lower symptom score and Hcy concentration than the con- trol group （P〈0.05 }.Conclusion： Western medicine combined with Traditional Chinese Medicine can provide accurate effect for arteriosclerosis obliterans.

关 键 词：中西医结合 加味桃红四物汤 下肢动脉硬化闭塞症 

分 类 号：R255.7[医药卫生—中医内科学]