出 处:《中国实用医药》2023年第21期130-133,共4页China Practical Medicine
基 金:大连市卫生健康委“登峰计划”医学重点专科建设项目经费资助(项目编号:大卫发[2021]146号)。
摘 要:目的观察自拟中药熏洗方治疗气虚血瘀型胸痹心痛病的临床效果。方法60例气虚血瘀型胸痹心痛病患者,随机分为对照组和试验组,各30例。对照组患者采取常规治疗,试验组患者在对照组基础上采取自拟中药熏洗方治疗。比较两组患者治疗前后西医症状评分、中医症状评分、血脂指标及临床疗效。结果治疗后,试验组西医症状评分(5.12±1.13)分低于对照组的(10.12±1.93)分,差异有统计学意义(P<0.05)。治疗后,试验组中医症状评分(3.59±0.63)分低于对照组的(6.51±1.07)分,差异有统计学意义(P<0.05)。治疗后,试验组总胆固醇(3.73±0.35)mmoL/L、甘油三酯(0.62±0.12)mmoL/L、低密度脂蛋白胆固醇(1.15±0.21)mmoL/L均低于对照组的(5.34±0.52)、(1.28±0.17)、(2.37±0.37)mmoL/L,高密度脂蛋白胆固醇(2.01±0.24)mmoL/L高于对照组的(1.43±0.17)mmoL/L,差异有统计学意义(P<0.05)。试验组治疗总有效率83.33%高于对照组的60.00%,差异有统计学意义(P<0.05)。结论采取自拟中药熏洗方治疗气虚血瘀型胸痹心痛病患者效果显著,可有效改善患者的临床症状及血脂情况,值得推广。Objective To analyze the clinical effect of self-made Chinese medicine fumigating and washing prescription on chest stuffiness and pain with Qi-deficiency and blood-stasis syndrome.Methods A total of 60 cases of chest stuffiness and pain patients with Qi-deficiency and blood-stasis syndrome were randomly divided into control group and experimental group,with 30 cases in each group.The control group was treated with routine treatment,and the experimental group was treated with self-made Chinese medicine fumigating and washing prescription on the basis of the control group.The Western medicine symptom score,traditional Chinese medicine symptom score and blood lipid index before and after treatment,and clinical effect were compared between the two groups.Results After treatment,the Western medicine symptom score of(5.12±1.13)points in the experimental group was lower than that of(10.12±1.93)points in the control group,and the difference was statistically significant(P<0.05).After treatment,the traditional Chinese medicine symptom score of(3.59±0.63)points in the experimental group was lower than that of(6.51±1.07)points in the control group,and the difference was statistically significant(P<0.05).After treatment,the experimental group had total cholesterol of(3.73±0.35)mmoL/L,triglyceride of(0.62±0.12)mmoL/L and low-density lipoprotein cholesterol of(1.15±0.21)mmoL/L,which were lower than those of(5.34±0.52),(1.28±0.17)and(2.37±0.37)mmoL/L in the control group;the high-density lipoprotein cholesterol(HDL-C)of(2.01±0.24)mmoL/L in the experimental group was higher than that of(1.43±0.17)mmoL/L in the control group;the differences were statistically significant(P<0.05).The total effective rate of 83.33%in the experimental group was higher than that of 60.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Self-made Chinese medicine fumigating and washing prescription has significant effect on chest stuffiness and pain patients with Qi-deficiency and blood-stasis syndr
分 类 号:R256.22[医药卫生—中医内科学]
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