黄芪益参汤加减治疗冠心病心绞痛心电图ST—T改变的临床研究  

Clinical Study of Traditional Chinese Medicine Treatment According to Syndrome Differentiation in the Treatment of Coronary Heart Disease and Angina Pectoris Electrocardiogram ST—T Change Patients

作　　者：庞莉[1] 尹超群[1] 郭海燕[1] 谭毅[1] 

机构地区：[1]深圳市龙岗区人民医院中医科,广东深圳518172

出　　处：《四川中医》2016年第5期75-77,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：深圳市龙岗区科技计划项目(编号:YS2013029)

摘　　要：目的:通过观察黄芪益参汤对冠心病心绞痛心电图ST—T改变患者的影响,来评价中医辨证论治法对冠心病心绞痛心电图ST—T改变的治疗作用,为中医临床辨证施治提供治疗依据。方法:将118例2014年1月~12月来我院诊治的冠心病心绞痛心电图显示ST—T改变患者列为研究对象,并随机分为治疗组60例与对照组58例,治疗组口服黄芪益参汤,并按照中医症候辨证分型给予药物加减;对照组给予常规西药治疗,观察给药前后两组患者心电图ST—T改变的恢复情况及各指标结果。结果:2个疗程后,应用黄芪益参汤治疗组在心电图疗效(心电图ST—T改变恢复情况、ST—T段各项指标)上优于对照组,总有效率为90.0%,对照组为70.7%,两组心电图疗效比较,治疗组明显优于对照组(P<0.05);且治疗组经中药治疗后心电图S-T段和T波具体参数疗效显著,差异有统计学意义。结论:中医辨证论治按照症候分型,再对症下药的治疗模式,更适合冠心病心绞痛(心电图ST—T改变)的治疗。Objective: To observe the effect of Huangqi Yishen Decoction on electrocardiogram ST- T change of coronary heart disease and angina pectoris patients,so as to evaluate the treatment role of Chinese medicine dialectical theory in the treatment of electrocardiogram ST-T change of coronary heart disease and angina pectoris,and provided the basis for clinical treatment of traditional Chinese medicine dialectical treatment. Methods: 118 cases of patients with coronary heart disease and angina pectoris electrocardiogram showing ST-T change hospitalized from January 2014 to December in our hospital who were as the study objects,they were randomly divided into the 60 cases of the treatment group and 58 cases of the controlled group,the treatment group was given Huangqi Yishen Decoction by oral? medication,according to TCM syndrome differentiation types for drug addition and decreasing; the controlled group was given routine treatment of western medicine,recovery and the index results of patients of two groups before and after ECG ST-T changes were observed. Results: After two treatment course,using Huangqi Yishen Decoction of the treatment group on the clinical effect of electrocardiogram( ST-T ECG change recovery,ST-T index) were better than those of the controlled group,the total effect rate was 90. 0%,the controlled group was 70. 7%,the comparison of the efficacy of ECG of two groups,the treatment group was significantly better than that of the controlled group( P <0. 05); after traditional Chinese medicine treatment,ECG S-T segment and T wave specific parameters of the treatment group were significant in effect,the difference had statistical significance. Conclusion: Chinese medicine dialectical theory according to syndrome type,then an antidote against the disease treatment mode,which is more suitable for coronary heart disease and angina pectoris( ECG ST-T change) treatment.

关 键 词：中医辨证论治 冠心病心绞痛 心电图ST—T改变 

分 类 号：R259[医药卫生—中西医结合]