补阳还五汤加减治疗气虚血瘀型胸痹临床疗效分析  

Clinical effect analysis of Buyang Huanwu decoction in the treatment ofQi deficiency and blood stasis type of chest paralysis

作　　者：邓银华 Deng Yinhua

机构地区：[1]杭州市小河湖墅街道社区卫生服务中心,浙江杭州310011

出　　处：《中医临床研究》2020年第6期21-22,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:分析讨论对气虚血瘀型胸痹(Chestdiscomfort)患者使用补阳还五汤加减治疗的具体效果和实际价值。方法:选取杭州市小河湖墅街道社区卫生服务中心2017年1月-2018年10月气虚血瘀型胸痹患者68例,根据入院先后将其均分为两组,每组34例,1组为对照组,采用常规西药治疗;2组为观察组,采用补阳还五汤加减治疗。比较两组患者总有效率和不良反应发生率。结果:观察组和对照组总有效率依次为97.06%(33/34)和73.53%(25/34),观察组明显高于对照组,P<0.05。服药后,观察组1例患者出现不良反应,占2.94%(1/34);对照组7例患者出现不良反应,占20.59%(7/34),差异具有统计学意义(χ^2=15.005,P<0.05)。结论:对气虚血瘀型胸痹患者使用补阳还五汤加减治疗疗效显著,几乎无不良反应,可在临床上进行推广使用。Objective:To analyze the clinical efficacy and value of Buyang Huanwu decoction(补阳还五汤)in the treatment of Qi deficiency and blood stasis type of chest paralysis.Methods:From January 2017 to October 2018,68 cases of chest arrhythmia of Qi deficiency and blood stasis type in our center were selected.According to the admission sequence,they were divided into two groups,with 34 cases in each group.The control group received conventional western medicine treatment.The observation group received Modified Buyang Huanwu decoction treatment.The total effective rate and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group and the control group was 97.06%and 73.53%respectively,which was significantly higher in the observation group than that in the control group(P<0.05).After taking the medicine,one patient in the observation group had adverse reactions,accounting for 2.94%(1/34).Adverse reactions occurred in 7 patients in the control group,accounting for 20.59%(7/34),which was of statistically significant difference(χ^2=15.005,P<0.05).Conclusion:Modified Buyang Huanwu decoction has significant effect in treating Qi deficiency and blood stasis type of chest paralysis.It has less adverse reactions and can be used in clinical promotion.

关 键 词：补阳还五汤 气虚血瘀型胸痹 加减治疗 

分 类 号：R256.22[医药卫生—中医内科学]