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ID:32229465
大小:1.56 MB
页数:32页
时间:2019-02-01
《芎桂散穴位贴敷辅助治疗稳定性心绞痛的临床疗效观察(7305)》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、南京中I廷药大学研究生论文摘要目的:观察芎桂散穴位贴敷辅助治疗冠心病稳定性心绞痛(气虚血瘀证)患者的临床疗效,并探讨其作用机制。方法:将经冠脉CTA或冠脉造影确诊为冠心病稳定性心绞痛患者(中医辨证为气虚血瘀证)60例,随机分为治疗组和对照组各30例,对照组患者予以西医常规治疗,治疗组在西医常规治疗的基础上加用芎桂散穴位贴敷(药物组成:肉桂15克,川芎15克,冰片3克),选穴心俞、膻中、膈俞、至阳穴,2日更换1次,4周为l疗程。观察两组治疗前后临床症状、心电图、心绞痛发作次数及持续时间、硝酸甘油使用情况、肝肾功能、血常规指标,再作统计分析,得出结果,完成本临床研究。结果:在中
2、医证候积分方面,两组治疗前后经统计学检验,P<0.05,有明显差异。在心绞痛发作方面,两组治疗后心绞痛发作次数及持续时间比较,P<0.05,有明显差异。治疗组心电图改善总有效率为80.0%,与对照组相比,无明显差异(P>0.05)。两组治疗后硝酸甘油停减率经统计学分析,P>0.05,无明显差异;但两组治疗后硝酸甘油起效时间比较,P<0.05,有明显差异。结论:芎桂散穴位贴敷辅助治疗稳定性心绞痛在改善中医症候及心绞痛方面有一定疗效,临床应用安全有效。关键词:芎桂散;稳定性心绞痛;穴位贴敷;气虚血瘀证Abstractobjective:Toobservetheclinicalc
3、uraticeffectsofassistanttreatmentofpectoriswithstableanginaofcoronaryheartdisease(deficiencyofQiandstagnationofblooodsyndrome)byacupointapplicationofXiongGuiSan,anddiscusstheeffectmechanism.Methods:60patientswithstableangina(forTCMsyndromedeficiencyofQiandstagnationofbloood),diagnosedbycor
4、onaryCTAorcoronary柚百ography,wererandomlydividedintotreatmentgroupandcontr01.group,30caseseachgroup.Thecontrolpatientsweretreatedwithroutinetherapyofwesternmedicine.Basedontheroutinetherapyofwesternmedicine,thepatientsoftreatmentgroupweretreatedbyacupointapplicationofXiongGuiSanelse,(drugco
5、mposition:cinnamon.tmp15grams,15grams,bomeol3grams),sticktoXinshu,Danzhong:Geshu,Zhiyang,replaceevery2days,4weeks硒onetreatment.Observetheclinicalsymptoms,electrocardiogram,thefrequencyanddurationofanginalattacks,nitroglycerinusage,liverandkidneyfunction,routinindicatorsofbloodbeforeandafte
6、rthetreatment,andthentheconclusionwasobtainedandtheclinicalstudiesWaScompleted,accordingtothestatisticalanalysis.Results:InthescoreofTCMsyndromesbeforeandaftertreatmentbetweenthetwogroups.P<0.05,haveobviousdifference.Inanginaattacks,thetreatmentgroupandcontrolgroupwerecomparedwithboththefr
7、equencyanddurationofanginalattacks,,P<0.05.ThetotaleffectiverateofelectrocardiogramimprovementintreatmentgroupWaS80.0%,comparedwiththecontrolgroup.andtherewerenoobviousdifference(P>0.05).TherateofnitroglycerinstopedandreducedaftertreatmenthaSnoobviousdifferenc
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