益气温阳活血方联合中药贴敷治疗冠心病临床观察  

Benefiting Qi and Warming Yang for Promoting Blood Circulation Prescription Combined with Chinese Medicine Sticking Application in the Treatment of Coronary Heart Disease

作　　者：陈伟 刘静 万璐 CHEN Wei;LIU Jing;WAN Lu(Inpatient Department,Yichun Hospital of Traditional Chinese Medicine,Jiangxi Province,Yichun 336000,China)

机构地区：[1]江西省宜春市中医院住院部,江西宜春336000

出　　处：《中国中医药现代远程教育》2024年第18期153-157,共5页Chinese Medicine Modern Distance Education of China

基　　金：江西省中医药管理局科技计划项目【No.SZYYB20216147】。

摘　　要：目的分析自拟益气温阳活血方联合中药贴敷治疗冠状动脉粥样硬化性心脏病的临床效果。方法选取2020年1月—2022年6月收治的90例冠状动脉粥样硬化性心脏病患者,分为两组,各45例,对照组用单硝酸异山梨酯片,试验组用自拟益气温阳活血方联合中药贴敷。结果治疗后,在心电图改变情况和中医证候评分疗效方面,试验组均优于对照组,差异有统计学意义(P<0.05);在心绞痛发作方面,两组患者每月发作次数和每次持续时间均减少,且试验组少于对照组,差异有统计学意义(P<0.05);在临床症状方面,试验组患者临床症状评分显著低于对照组,差异具有统计学意义(P<0.05);在血脂方面,试验组优于对照组,差异具有统计学意义(P<0.05)。结论自拟益气温阳活血方联合中药贴敷治疗冠状动脉粥样硬化性心脏病具有显著临床效果,可降低患者心绞痛发作次数,改善患者临床症状,延缓疾病发展,值得临床大力推广与广泛应用。Objective To analyze the clinical efficacy of self-made benefiting qi and warming yang for promoting blood circulation prescription combined with Chinese medicine sticking application in the treatment of coronary heart disease.Methods A total of 90 patients with coronary heart disease who were treated from January 2020 to June 2022 were selected and divided into two groups,with 45 cases in each group.The control group was treated with isosorbide mononitrate tablets,and the experimental group was treated with self-made benefiting qi and warming yang for promoting blood circulation prescription combined with Chinese medicine sticking application.Results After treatment,the experimental group was better than the control group in electrocardiogram changes and TCM syndrome scores,and the difference was statistically significant(P<0.05).In terms of angina pectoris attack,the monthly frequency and duration of each attack were decreased in both groups,the experimental group was less than the control group,and the difference was statistically significant(P<0.05).In terms of clinical symptoms,the clinical symptom score of experimental group was significantly lower than that of control group,and the difference was statistically significant(P<0.05).In terms of blood lipid,the experimental group was better than the control group,and the difference was statistically significant(P<0.05).Conclusion Self-made benefiting qi and warming yang for promoting blood circulation prescription combined with Chinese medicine sticking application has a significant clinical effect in the treatment of coronary heart disease.It can relieve the number of angina pectoris attacks,improve the clinical symptoms of patients,and delay the development of the disease.It is worthy of clinical promotion and wide application.

关 键 词：胸痹 冠状动脉粥样硬化性心脏病 益气温阳活血方 中药贴敷疗法 中医综合疗法 

分 类 号：R259[医药卫生—中西医结合]