益气养阴化瘀汤治疗气阴两虚兼瘀型胸痹30例临床观察  

Clinical effect of self-made Yiqi Yangyin Huayu decoction in treatment of chest stuffiness with deficiency of both Qi and Yin and stasis: An analysis of 30 cases

作　　者：李明子[1] 蔡群[1] 宋宇新[1] 王爱亮[1] LI Mingzi;CAI Qun;SONG Yuxin;WANG Ailiang(Qidong Hospital of Traditional Chinese Medicine,Qidong 226200,Jiangsu,China)

机构地区：[1]启东市中医院,江苏启东226200

出　　处：《湖南中医杂志》2020年第12期5-7,共3页Hunan Journal of Traditional Chinese Medicine

基　　金：江苏省南通市市级科技计划(指导性)项目(MSZ18198)。

摘　　要：目的:观察自拟益气养阴化瘀汤治疗气阴两虚兼瘀型胸痹的临床疗效。方法:选取60例气阴两虚兼瘀型胸痹患者,将其随机分为治疗组与对照组,每组各30例。对照组采用常规治疗,治疗组在对照组的基础上配合自拟益气养阴化瘀汤治疗。观察2组心电图、中医证候的变化及硝酸甘油减停率,评定中医证候及心电图的疗效。结果:中医证候、心电图疗效的总有效率治疗组均为93.34%(28/30),对照组均为73.33%(22/30),2组比较,差异均有统计学意义(均P<0.05);硝酸甘油减停率治疗组为90.00%(27/30),明显高于对照组的66.67%(20/30),差异有统计学意义(P<0.05)。结论:西医常规治疗结合自拟益气养阴化瘀汤可以显著扩张患者冠状动脉,改善心功能,缓解临床症状,疗效确切。Objective: To investigate the clinical effect of self-made Yiqi Yangyin Huayu decoction in the treatment of chest stuffiness with deficiency of both Qi and Yin and stasis. Methods: A total of 60 patients with chest stuffiness with deficiency of both Qi and Yin and stasis were randomly divided into treatment group and control group,with 30 patients in each group. The patients in the control group were given conventional treatment,and those in the treatment group were given self-made Yiqi Yangyin Huayu decoction in addition to the treatment in the control group. The two groups were compared in terms of the changes in electrocardiogram and TCM syndrome and the withdrawal or reduction rate of nitroglycerin,and the treatment outcome of TCM syndrome and electrocardiogram were evaluated. Results: The overall response rate of TCM syndrome and electrocardiogram was 93. 34%( 28/30) in the treatment group and 73. 33%( 22/30) in the control group,and there was a significant difference between the two groups( P<0. 05). The treatment group had a significantly higher withdrawal or reduction rate of nitroglycerin than the control group [90. 00%( 27/30) vs66. 67%( 20/30),P <0. 05]. Conclusion: Western medicine combined with self-made Yiqi Yangyin Huayu decoction can effectively dilate the coronary artery,improve cardiac function,and alleviate clinical symptoms and thus has a marked clinical effect.

关 键 词：胸痹 气阴两虚兼瘀证 中医药疗法 自拟益气养阴化瘀汤 

分 类 号：R256.22[医药卫生—中医内科学]