当归芍药散加减治疗急性心肌梗死临床观察  

Clinical Observation of Dangguishaoyaosan Decoction on Acute Myocardial Infarction

作　　者：李晓芳[1] 汤凤池[1] 

机构地区：[1]四川省遂宁市中医院,四川遂宁629000

出　　处：《中国中医急症》2014年第9期1637-1638,1647,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：四川省遂宁市卫生局中医药类计划项目(SYN11018)

摘　　要：目的应用当归芍药散加减辨治急性心肌梗死经验,以期寻找出最佳的方法治疗该类疾病,提高临床诊治水平。方法选取2010年2月至2014年2月60例急性心肌梗死患者为研究对象,按随机数字表法分成两组,对照组30例予常规西医治疗,观察组30例在对照组基础上加用当归芍药散加减治疗,观察治疗后临床效果。结果对照组显效率30.00%、总有效率56.67%,观察组显效率43.33%、总有效率80.00%;观察组脑卒中、再住院率分别为13.33%、36.67%,对照组分别为30.00%和63.33%,上述指标两组比较差异均有统计学意义(P<0.05)。另外治疗后在躯体活动受限积分、心绞痛稳定状态积分、心绞痛发作情况、治疗满意程度、疾病认知程度比较差异也有统计学意义(P<0.05)。结论当归芍药散加减能提高急性心肌梗死临床效果,提高生活质量。Objective： To observe the Dangguishaoyaosan Decoction on acute myocardial infarction and to find out the best way to deal with such diseases and improve clinical diagnosis and treatment. Methods： 60 patients with acute myocardial infarction were divided into two groups：30 patients in control group were treated with con- ventional western medicine, 30 cases in observation group on the basis of that were added Dangguishaoyaosan De- coction. The clinical effects were observed after treatment. Results： The effective rate of control group was 30.00% and total effective rate reached 56167%. Effective rate in observation group was 43.33% and total effec- tive rate was up to 80.00%. Stroke and readmission rates in observation group were 13.33% and 36.67% respec- tively,and in the control group were 30.00% and 63.33% respectively. These indicators were statistically signifi- cant between the two groups（P〈 0.05）. Physical limited activity scores,angina steady state scores,angina pectoris onset scores, treatment satisfaction scores, and disease awareness scores of two groups were also statistically signif- icant （P〈 0.05）. Conclusion： Dangguishaoyaosan Decoction can improve the clinical effects of acute myocardial infarction and the quality of life.

关 键 词：当归芍药散 急性心肌梗死 临床效果 

分 类 号：R542.22[医药卫生—心血管疾病]