化痰宽胸法治疗冠心病心绞痛型(胸痹心痛—痰闭胸阳证)的临床研究

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1、学位论文化痰宽胸法治疗冠心病心绞痛型(胸痹心痛一痰闭胸阳证)的临床研究Clinicalstudyoftreatinganginapectorisincoronaryheartdisease《chestobstruetion-phlegmclosedchestyangcard)byeliminatingphlegmandwideningchestmethod周华指导教师姓名：塞4丞塞圭焦医垭申请学位级别：亟±专业名称：虫酉医结金!逝鏖论文提交时间：2Q12生垒旦论文答辩时间：2Q12生§旦二O一二年四月成都中医药大学硕=__L学位论文中文摘要目的：观察化痰宽胸

2、法治疗冠心病心绞痛型(胸痹心痛一痰闭胸阳证)的临床疗效方法：从成都中医药大学附属医院心血管内科门诊及住院病人收集72例西医符合冠心病心绞痛的诊断标准，中医辨病属胸痹心痛，辨证属于痰闭胸阳证者，随机分为两组，每组36例。两组患者在性别、年龄、基础疾病、病程等方面比较均无显著差异(P>O．05)，具有可比性。对照组给予常规西药治疗，治疗组在常规西药治疗的基础上给予具有化痰宽胸作用的宣痹化痰汤，4周后观察疗效，并进行评分，应用统计软件进行统计分析，P

3、两组间比较治疗组优于对照组；2、在硝酸甘油减停率、降低血脂、心电图疗效方面，治疗组优于对照组；3．治疗后两组中医症状总疗效、中医单项症状疗效和中医证候总积分比较具有统计学意义(P

4、coronaryheartdisease(chestobstruction—phlegmclosedchestyangcard)byeliminatingphlegmtowidechestmethod．Methods：Collect72patientswhomeetthediagnosticcriteriainpatientswithanginapectorisincoronaryheartdiseaseandbelongtoobstructionofphlegmchestYangsyndrome——shutfromtheChengDuUniversityo

5、fTCMaffiliatedhospital’Scardiologicalout—patientandin—patientdepartments．Which36caseswererandomlyselectedintothetreatmentgroup；theremaining36caseswererandomlyselectedintothecontrolgroup．Therewere72patientsineachgroupwithoutsignificantdifferenceinSex、Age、basicdiseasesandthetimeofthe

6、diseasebetweentwogroups(P>0．05)．Controlgroupofconventionalwesternmedicine，thetreatmentgrouponthebasiSofwesternmedicineandXuanBiHuaTan。。tangandhastheeffectonE1iminatingphlegmandwideningchesteffect．Observethecureeffectandgrade4weekslater．UsingstatisticalsoftwareSPSSl7．0statisticalana

7、lysis．P<0．05showsthatithas．Results：1．IntheimproveofanginapectoriS，theeffectiveratefortreatmentgroupis88．89％andcontrolgroupis66．67％，theeffectoftreatmentgroupiSbetterthancontrolgroup．2．Ttreatmentgrouphasmuchadvantageincruativeeffectofnitr091ycerinreducingrate，bloodfatreducingandelect

8、rocardiogram．3．Thetwogroup