加味温胆汤治疗痰瘀内阻型冠心病稳定型心绞痛伴焦虑状态临床分析  

Clinical Analysis of Jiawei Wendan Decoction in Treatment of Stable Angina Pectoris of Coronary Heart Disease of Phlegm Stasis Internal Blockage Type with Anxiety State

作　　者：吴桂梅 Wu Gui-mei(Zhenjiang Hospital Affiliated to Nanjing University of Chinese Medicine/Zhenjiang Hospital of Traditional Chinese Medicine,Zhenjiang 212000,Jiangsu Province,China)

机构地区：[1]南京中医药大学镇江附属医院(镇江市中医院),江苏镇江212000

出　　处：《中国社区医师》2022年第31期59-61,共3页Chinese Community Doctors

摘　　要：目的:分析痰瘀内阻型冠心病稳定型心绞痛伴焦虑状态患者使用加味温胆汤的治疗效果。方法:选取2019年9月-2021年5月南京中医药大学镇江附属医院收治的86例痰瘀内阻型冠心病稳定型心绞痛患者为研究对象,依据治疗形式分为试验组与对照组,各43例。对照组接受常规治疗,试验组在对照组基础上联合加味温胆汤治疗。对比两组疗效、生活质量、不良情绪、心绞痛评分。结果:试验组总有效率高于对照组,差异有统计学意义(P<0.05)。试验组生理功能、情感职能、社会功能、精神健康评分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组焦虑、抑郁评分比较,差异无统计学意义(P>0.05);干预后,试验组焦虑、抑郁评分均低于对照组,差异有统计学意义(P<0.05)。试验组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。治疗前,两组躯体受限、心绞痛稳定评分比较,差异无统计学意义(P>0.05);干预后,试验组躯体受限、心绞痛稳定评分均低于对照组,差异有统计学意义(P<0.05)。结论:对痰瘀内阻型冠心病稳定型心绞痛患者使用加味温胆汤治疗,可改善患者焦虑程度,缓解疾病症状及躯体受限程度,提高患者生活质量,降低不良反应发生率,安全性较高。Objective:To analyze the treatment effect of Jiawei Wendan Decoction in patients with stable angina pectoris of coronary heart disease of phlegm and blood stasis internal blockage type with anxiety state.Methods:From September 2019 to May 2021,86 patients with stable angina pectoris of coronary heart disease of phlegm and blood stasis internal blockage type in Affiliated Zhenjiang Hospital of Nanjing University of Chinese Medicine were selected as the study subjects.They were divided into experimental group and control group according to the treatment form,with 43 cases in each group.The control group received routine treatment,and the experimental group received Jiawei Wendan Decoction on the basis of control group.The efficacy,quality of life,adverse mood before and after intervention,and angina pectoris scores were compared between the two groups.Results:The total effective rate in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).The scores of physiological function,emotional function,social function and mental health in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no significant difference in anxiety and depression scores between the two groups(P>0.05).After the intervention,the anxiety and depression scores in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Before the treatment,there was no significant difference in physical limitation and angina pectoris stability scores between the two groups(P>0.05).After the intervention,the physical limitation and angina pectoris stability scores in the experimental group were lower than those in the control group,and the differences were statistically s

关 键 词：加味温胆汤 痰瘀内阻型 冠心病稳定型心绞痛 焦虑状态 

分 类 号：R259[医药卫生—中西医结合]