扶正补心汤治疗气虚血瘀型心绞痛的临床观察.doc

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1、扶正补心汤治疗气虚血瘀型心绞痛的临床观察张文青李敏敏孙建魏铭山东省滨州医学院附属医院中医科摘要：冃的观察扶正补心汤对于气虚血瘀型心绞痛的临床疗效，探讨运用中医辨证论治的方法是否可以更有效地治疗心绞痛。方法收集中医辨证为气虚血瘀型的心绞痛患者70例，运用病例对照研究的方法分为治疗组和对照组，每组各35例，治疗组患者服用扶正补心汤方，对照组服用单硝酸异山梨酯片（欣康）、阿司匹林、瑞舒伐他汀片（可定），总疗程为60do然后对2组患者服药前后的临床疗效以及心电图变化进行对比。结果治疗组治疗的总有效率、中医症状积分、心电图表

2、现均优于对照组，差异有统计学意义（P<0.05）。2组患者用药治疗期间均未出现严重的不良反应。结论扶正补心汤对于气虚血瘀型心绞痛具有显著的临床疗效，用药安全，为今后心绞痛的临床诊疗方案提供了更多更好的选择。关键词：扶正补心汤;心绞痫;气虚血瘀;中医药疗法;胸痹;作者简介：魏铭ysunzwj@126.com收稿日期：2017-09-08ClinicalObservationonFuzhengBuxinDecoctioninTreatingAnginaPectorisofQiDeficiencyandBloodStas

3、isTypeZHANGWenqingLIMinminSUNTianWEIMingDepaitmentofTraditionalChineseMedicine,theAff订iatedHospitalofBinzhouMedicalCollege;Abstract：ObjectiveToobservetheclinicalcurativeeffectofFuzhengBuxindecoctionintreatinganginapectorisofqideficiencyandbloodstasis,andtoinve

4、stigatewhetherthemethodofTCMtreatmentcaneffectivelytreatanginapectorisornot.Methods70casesofangirispectorisofqideficiencyandbloodstasissyndromepatientswerecol1ected,andthecase-controlstudywasdividedintothetreatmentgroupandthecontrolgroup,with35casesineachgroup

5、.ThepatientsinthetreatmentgrouptookFuzhengBuxindecoction,andthecontrolgroupwastreatedwithIsosorbideMononitratetablets(Xinkang),aspirinandrosuvastatintablets(Keding).Thetotalcourseoftreatmentwas60days,andthentheclinicaleffectandECGchangeswerecomparedbetweenthet

6、wogroupsaftertakingthemedicine.scoreandECGperformanceofthecontrolgroup,and(P<0.05).TherewasnoResultsThetotaleffectiverate,TCMsymptomofthetreatmentgroupwerebetterthanthosethedifferencewasstatisticallysignificantseriousadversereactioiiduringthetreatmentperiodbet

7、weenthetwogroups.ConclusionFuzhengBuxindecoctionhassignificantclinicaleffectforanginapectorisofqideficiencyandbloodstasis,andhasmedicationsafety.Itprovidesmoreandbetterchoiceforclinicaltreatmentofanginapectorisinthefuture.Keyword：FuzhengBuxindecoction;anginspe

8、ctoris;qideficiencyandbloodstasis;therapyofTCM;chestdiscomfort;Received：2017-09-08心绞痛是指由于冠状动脉粥样硬化狭窄导致冠状动脉供血不足，心肌暂时缺血与缺氧所引起的以心前区疼痛为主要临床表现的一组综合征，是日前发病率较高的一种疾病山。冠心病心绞痛现在已经成为了全球范围内的重要公