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《健脾化痰祛瘀法治疗冠心病稳定型心绞痛气虚血瘀、痰浊内阻证的临床研究》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、提要目的：观察健脾化痰祛瘀法治疗冠心病稳定型心绞痛气虚血瘀、痰浊内阻证的疗效并探讨其机理。方法：临床研究选择冠心病稳定型劳累性心绞痛气虚血瘀、痰浊内阻证患者60例，随机分为试验组和对照组各30例，试验组给予西药基础治疗加用健脾化痰祛瘀汤治疗，对照组给予西药基础治疗，观察治疗前后临床疗效和实验室检查变化。结果：经治疗4周后，心绞痛疗效，试验组显效率为33.33%、总有效率为76.67%，对照组显效率为16.67%、总有效率为50%；中医症候疗效，试验组显效率为33.33%、总有效率为90%，对照组显效率为16.67%、
2、总有效率为60%；心电图疗效，试验组显效率为30%、总有效率为73.33%，对照组显效率为16.67%、总有效率为43.33%。两组比较有显著性差异（P<0.05）。与对照组相比，试验组治疗后血脂、血液流变学均有较大改善（P<0.01、P<0.01）。结论：本研究结果显示健脾化痰祛瘀汤对稳定型心绞痛气虚血瘀、痰浊内阻证有显著的临床疗效，能明显缓解心绞痛，改善心肌缺血，缓解胸痛、胸闷等主要症状，能调节血脂，改善血液流变学，提高临床疗效和中医症候疗效，可推广于临床。治疗后无明显不良反应。关键词稳定型心绞痛；气虚血瘀、痰浊
3、内阻证；健脾化痰祛瘀汤；临床研究ClinicalStudyontheMethodofTonifyingtheSpleenandDissipatingPhlegmandBloodStasisinTreatingAnginaofCoronaryHeartDiseaseSpeciality:HeartDisease,TraditionalChineseInternalMedicineAuthor:LiuJianyingTutor:ProfessorZhangShiliangAbstractObjective：Toobser
4、vetheclinicalcurativeeffectoftreatingsyndromeofQi-astheniaandPhlegm-StasisofstableanginacausedbycoronaryheartdiseasethroughapplyingtheJianpihuatanquyudecoctionandToexploreitsmechanism.Methods：60patientswithstableanginaofcoronaryheartdiseasewererandomlydividedin
5、totheexperimentalgroup(30cases)andthecontrolgroup(30cases).EachgroupwastreatedwithWesternmedicineasaprimarytreatment.TheexperimentalgroupwasdosedJianpihuatanquyudecoction.Thecourseofclinicaltreatmentisfourweeks.Results:After4weekstreatment,anginapectoris,experi
6、mentalgroup,markedlyeffectiveratewas33.33%,totaleffectiveratewas76.67%;controlgroup,markedlyeffectiveratewas16.67%,totaleffectiveratewas50%.MedicineClinicalsymptomsoftheexperimentalgroupwasmarkedly33.33%,totaleffectiveratewas90%;markedlyeffectiveratewas16.67%in
7、controlgroup,thetotaleffectiveratewas60%.EKG,experimentalgroupthatwas30%,totaleffectiveratewas73.33%;markedlyeffectiveratewas16.67%incontrolgroup,thetotaleffectiveratewas43.33%.Thereweresignificantdifferences(P<0.05).Comparedwiththecontrolgroup,experimentalgrou
8、paftertreatment,Blood-fatandBloodRheologyweregreatlyimproved(P<0.01,P<0.01).Conclusions：Jianpihuatanquyudecoctionhasgoodcurativeeffectontreatinganginaofcoronaryheartdisease,
