益气活血法防治PCI术后再狭窄疗效临床观察  

Clinical Observation of the Effect of Supplementing Qi and Activating Blood Circulation Method on Preventing and Treating Restenosis after PCI

作　　者：郭素芬[1] 

机构地区：[1]安阳市中医院,河南安阳455000

出　　处：《辽宁中医药大学学报》2017年第3期196-198,共3页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:探讨益气活血法防治经皮冠状动脉内介入治疗术(PCI)后再狭窄的临床疗效。方法:选取我院2014年2月—2016年2月收治的60例PCI术后患者,将患者按照随机数字对照法随机分为30例对照组和30例研究组。对照组运用西医治疗,所采用的药物为拜阿司匹林,研究组在对照组基础上通过益气活血法治疗。对比两组治疗后的临床疗效、心绞痛发作次数、心血管事件发生次数和血液流变学、血脂的变化。结果:研究组总有效率为90.0%,对照组总有效率为76.7%,两组对比具有显著统计学差异(P<0.05);研究组的心绞痛发作次数、心绞痛发作持续时间均低于对照组,两组差异具有显著统计学意义(P<0.05);两组在治疗后其全血黏度和红细胞积压、血脂均比治疗前明显降低,治疗后两组对比无显著统计学差异(P>0.05)。治疗结束后随访半年,研究组发生心血管事件的发生率显著低于对照组,两组对比具有显著统计学差异(P<0.05)。结论:益气活血法防治PCI术后再狭窄疗效显著,可以起到补益气血、通调经络之功效,能够显著促进血液循环,增强病变处血管通透性,降低心绞痛发作次数、心血管事件发生次数,改善血液流变学及血脂水平,适于临床推广使用。Objective：To investigate the clinical effect of the method of supplementing Qi and activating blood circulation in the treatment of restenosis after percutaneous coronary intervention（PCI）. Methods：60 cases of PCI in our hospital from February 2014 to February 2016 were selected,the patients were randomly divided into 30 control group and 30 cases of the control group according to the random number. The control group was treated with western medicine,the drugs were used as aspirin,the study group was treated with the therapy of supplementing Qi and activating blood circulation on the basis of the control group. Compared with the two groups after treatment,the clinical curative effect,the frequency of angina attack,the frequency of cardiovascular events and the changes of blood rheology and blood lipid. Results：In the study group,total effective rate was 90.0%,the total effective rate of control group was 76.7%,compared the two groups has statistically significant differences（P〈0.05）;study group of anginal attacks and angina pectoris attack duration were significantly lower than those in the control group,the difference between the two groups has statistical significance（P〈0.05）. The two groups before and after the treatment of thebacklog of the whole blood viscosity and red blood cells,blood lipid decreased than before treatment and after treatment between the two groups no significant difference（P〉0.05）. Six months after treatment,the incidence of cardiovascular events in the study group was significantly lower than that in the control group,and there was a significant difference between the two groups（P〈0.05）. Conclusion：Supplementing Qi and activating blood circulation method on prevention and treatment of PCI restenosis after curative effect is remarkable,can tonifying Qi and blood,regulating of meridian and collateral effects,could significantly promote the blood circulation,enhancing lesions at the vascular permeability,reduce angina attack frequency,cardiovascular event

关 键 词：益气活血法 冠心病 经皮冠状动脉内介入治疗术(PCI) 再狭窄 

分 类 号：R542.22[医药卫生—心血管疾病]