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作 者:蔡诗川[1]
机构地区:[1]广西玉林市卫生学校附属医院中医科,广西玉林537000
出 处:《实用中医内科杂志》2014年第10期53-55,共3页Journal of Practical Traditional Chinese Internal Medicine
摘 要:[目的]观察血塞通联合参麦注射液治疗气虚血瘀型胸痹疗效。[方法]使用随机平行对照方法,将92例门诊患者按抽签法简单随机分为两组。对照组46例心痛定,10mg/次,3次/d;心绞痛发作硝酸甘油,0.5mg/次,舌下含服。治疗组46例血塞通400mg+0.9%生理盐水250mL,1次/d,静滴;参麦注射液30mL+5%葡萄糖250mL,1次/d,静滴。连续治疗7d为1疗程。观测临床症状、血液流变指标(全血高切黏度、全血低切黏度、血浆黏度)、心电图、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效29例,有效13例,无效4例,加重0例,总有效率91.30%。对照组显效12例,有效20例,无效11例,加重3例,总有效率69.57%。治疗组疗效优于对照组(P<0.05)。血液指标治疗组有改善(P<0.05),对照组无改善(P>0.05),治疗组改善优于对照组(P<0.05)。[结论]血塞通联合参麦注射液治疗气虚血瘀型胸痹效果显著,值得推广。[ Objective ] To observe the blood through joint take part injection treatment of qi deficiency and blood stasis type of obstruction of curative effect. [ Methods ] Using random parallel control method, 92 cases of clinic patients into two groups according to random number table method. The control group of 46 cases of nifedipine tablets, 10 mg/time, 3 times/d. Angina pectoris attack to nitroglycerin, 0.5 mg/time, sublingual suck it. 46 cases of treatment group 400 mg of blood plug + 0.9% of the 250 ml saline, 1 / d, the static drop ; 30 ml ginseng injection + 250 ml 5% glucose injection, once a/d, static drops. Continuous treatment of 7 d for 1 course of treatment. Observation of clinical symptoms, blood indicators ( whole blood high shear viscosity, whole blood low shear viscosity, plasma viscosity ), adverse reactions. Continuous treatment 2 period of treatment, judge curative effect. [ Results ] the treatment group 29 cases were markedly effective, effective 13 cases, 4 cases were invalid, aggravating 0 cases, total effective rate was 91.30%. The control group, 12 cases were markedly improved effectively and 20 cases, ineffective in 11 cases, increase 3 cases, total effective rate was 69.57%. The treatment group curative effect is better than that of control group ( P〈0.05 ) . Two groups of blood indexes are improved in treatment group ( P〈0.05 ), no improvement in the control group ( P〉0.05 ), the treatment group is better than that of control group ( P〈0.05 ) . [ Conclusion ] The blood through joint take part injection treatment of qi deficiency and blood stasis type obstruction effect is remarkable, is worth promoting.
关 键 词:胸痹 气虚血瘀 血塞通 参麦注射液 心痛定 硝酸甘油 血液流变指标 心电图 中医药治疗 随机平行对照研究
分 类 号:R256.22[医药卫生—中医内科学] R286[医药卫生—中医学]
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