神香苏合丸联合西医常规治疗寒凝心脉证稳定型心绞痛临床研究  

Clinical Study on Shenxiang Suhe Pills Combined with Conventional Western Medicine Therapy for Stable Angina Pectoris with Cold Congealing in Heart Vessel Syndrome

作　　者：刘艳[1] 张成明 尹春雷 LIU Yan;ZHANG Chengming;YIN Chunlei

机构地区：[1]浙江衢化医院功能科,浙江衢州132400 [2]浙江衢化医院中医科,浙江衢州324004 [3]浙江衢化医院心内科,浙江衢州324004

出　　处：《新中医》2023年第10期15-18,共4页New Chinese Medicine

摘　　要：目的:观察神香苏合丸联合西医常规治疗寒凝心脉证稳定型心绞痛的临床疗效。方法:选择稳定型心绞痛患者78例,按照随机数字法表分为治疗组和对照组各39例。对照组给予西医常规治疗,治疗组在对照组的基础上加用神香苏合丸治疗。2组疗程均为8周。比较2组心绞痛发作情况、中医证候评分及临床疗效。结果:治疗组总有效率为92.31%,对照组为69.23%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组每周心绞痛发作次数、每次持续时间均较治疗前明显减少(P<0.05),且治疗组心绞痛发作次数、持续时间均少于对照组(P<0.05)。治疗后,2组胸痛、形寒肢冷、面色苍白、心悸、气短等寒凝心脉证证候评分均较治疗前下降(P<0.05),且治疗组各项中医证候评分均低于对照组(P<0.05)。结论:在西医常规治疗基础上联合神香苏合丸治疗寒凝心脉证稳定型心绞痛疗效显著,能够有效控制心绞痛发作,进一步改善中医证候。Objective:To observe the clinical effect of Shenxiang Suhe Pills combined with conventional western medicine therapy for stable angina pectoris with cold congealing in heart vessel syndrome.Methods:A total of 78 cases of patients with stable angina pectoris were selected and divided into the treatment group and the control group according to the random number table method,with 39 cases in each group.The control group was treated with conventional western medicine therapy,and the treatment group was additionally treated with Shenxiang Suhe Pills based on the treatment of the control group.Both groups were treated for 8 weeks.The attack of angina pectoris,traditional Chinese medicine(TCM)syndrome scores,and clinical effects were compared between the two groups.Results:The total effective rate was 92.31%in the treatment group and 69.23%in the control group,the difference being significant(P0.05).After treatment,the times and duration of angina pectoris attacks per week in the two groups were significantly decreased when compared with those before treatment(P0.05);the times of angina pectoris attacks in the treatment group were fewer than those in the control group,and the duration was shorter than that in the control group(P0.05).After treatment,the scores of cold congealing in heart vessel syndrome including chest pain,cold limbs,pale complexion,palpitation,and shortness of breath in the two groups were decreased when compared with those before treatment(P0.05),and each TCM syndrome score in the treatment group was lower than that in the control group(P0.05).Conclusion:Shenxiang Suhe Pills combined with conventional western medicine therapy has a significant curative effect in the treatment of stable angina pectoris with cold congealing in heart vessel syndrome,and can effectively control angina pectoris and further improve TCM syndromes.

关 键 词：稳定型心绞痛 寒凝心脉证 神香苏合丸 

分 类 号：R541.4[医药卫生—心血管疾病]