桂枝茯苓汤在不稳定性心绞痛瘀热相搏证的临床疗效  

Clinical effect of Guizhi Fuling decoction on unstable angina patients with stagnated heat syndrome

作　　者：吕维芬 

机构地区：[1]山东省聊城市东昌府区中医院,山东聊城252000

出　　处：《世界最新医学信息文摘》2014年第27期18-19,共2页World Latest Medicine Information Electronic Version

摘　　要：目的：观察桂枝茯苓汤在不稳定性心绞痛瘀热相搏证患者的临床疗效。方法选择我院2012年4月至2013年6月期间收治的120例不稳定性心绞痛瘀热相搏证患者为对象，随机分为治疗组和对照组，治疗组患者共60例给予西药常规治疗，对照组共60例在西药常规治疗的基础上加服桂枝茯苓汤剂。四周为一个疗程，记录中医证候、心绞痛疗效、心电图疗效。结果治疗4周后，治疗组和对照组在中医症候疗效、心绞痛疗效、心电图疗效方面较治疗前均有明显改善；治疗后，治疗组在心绞痛疗效、心电图疗效、中医证候疗效方面明显优于对照组，组件比较存在显著差异，具有统计学意义（P〈0.05或P〈0.01）。结论桂枝茯苓汤能明显减少不稳定型心绞痛瘀热相搏证患者的心绞痛发作，改善患者心电图总有效率，提高患者中医证候疗效。Objective To evaluate and study the effect of Guizhi Fuling decoction on the clinical efficacy of unstable angina patients with stagnated heat syndrome. Methods 120 unstable angina patients with stagnated heat syndrome admitted from april 2012 to June 2013 in our hospital were randomly divided into treatment group and control group. Patients in control group received the conventional standardized treatment of western medicine, while patients in the treatment group were given Guizhi Fuling decoction on the basis of the treatment in the control group, 4 weeks as a treatment course. The changes of TCM syndrome, the efficacy of angina and the changes of ECG were all observed in the two groups. Results： After 4 weeks treatment, the general efficacy on tcM symptoms, the angina symptom and the changes of ecG were improved significantly in two groups. However, these indexed were all improved better in treatment group than that in control group. The efficacy differences were statistically significant（P〈0.05 or P〈0.01）. Conclusion Guizhi Fuling decoction can significantly improve the angina symptoms of unstable angina patients with the syndrome of stagnated heat and the ecG manifestation, and also increase the general efficacy on TCM syndrome.

关 键 词：桂枝茯苓汤 不稳定性心绞痛 瘀热相搏 临床疗效 

分 类 号：R25[医药卫生—中医内科学]