营心通脉方治疗冠心病心绞痛气阴两虚型的临床研究

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1、提要目的：本研究通过临床观察营心通脉方对于冠心病心绞痛气阴两虚型的疗效并探讨其作用机理，从而证明益气养阴法在治疗冠心病心绞痛的重要地位。方法：在对本方的临床研究中，将60例冠心病心绞痛证属于气阴两虚型的患者随机分为两组。治疗组30例，除常规西药治疗外每日予营心通脉方一剂治疗。对照组30例，只予以常规西药治疗。4周后观察两组患者治疗前后的临床症状、心电图改变等，并进行统计学分析。结果：营心通脉方对冠心病心绞痛的治疗在改善心电图表现、改善中医症状以及减少硝酸甘油服用量和降低化验室指标治疗组疗效要优于对照组。结论：营心通脉方在

2、临床上对气阴两虚型心绞痛疗效以及在改善患者症状、体征以及主要疗效性指标方面明显优于对照组。在治疗中没有发现不良反应，所以在临床应用上是安全有效的，这充分体现了中医中药在治疗冠心病心绞痛方面有着广阔的前景。关键词冠心病心绞痛；气阴两虚型；营心通脉方；临床研究ClinicalstudyofsupplementingQiandnourishingyinintreatmentofanginapectorisofcoronaryheartdiseaseSpeciality:InternalMedicineofTraditional

3、ChineseMedicineAuthor:ZhangdingdingTutor:MengZhaoyangAbstractObjective:ThisresearchthroughclinicalobservationthePrescriptionnamedNourishingheartandFreeingvascularinTreatmentofcoronaryheartdiseaseindeficiencyofbothQiandyinandstudyonitsmechanism,thusprovingthemetho

4、dofinvigoratingQiandnourishingyinplaysanimportantpositioninthetreatmentofanginapectorisofcoronaryheartdisease.Methods:Inthisclinicalstudy,60coronaryheartdiseasepatientswithanginawhobelongtodeficiencyofbothQiandyinofrandomlydividedintotwogroups.30patientsintreatme

5、ntgroup,inadditiontotheconventionalWesternmedicinetreatmentwhohavetotakethePrescriptionnamedNourishingheartandFreeingvasculareverydayinthetreatment.30casesinControlgroup,onlytreatedbyconventionalWesternmedicine.4weekslater,observethetwogroupsinclinicalsymptoms、th

6、echangeofECG、theindicatorsoflaboratoryexaminationandstatisticalanalysis.Results:InthetreatmentofcoronaryheartdiseasethePrescriptionnamedNourishingheartandFreeingvascularcanreducethenumberofheartattacks,durationofsymptoms;easethepainandreducethedosenitroglycerinan

7、dimproveECGwhentheattackisbetterthanthecontrolgroup.Conclusions:IntheclinicalforpatientswithcoronaryheartdiseasewhobelongtodeficiencyofbothQiandyinofrandomly,thePrescriptionnamedNourishingheartandFreeingvascularcanimprovethesymptoms、signs、andthemainindicatorsofef

8、ficacymuchbetterthanthecontrolgroup。duringthetreatmentAdversereactionsarenotbefound,soitissafeandeffectiveonclinicalapplicationwhichreflectsthatthetraditionalC