益气通脉煎剂治疗冠脉血运重建后心绞痛临床观察

Clinical Observation of Yiqi Tongmai Decoction on Angina Pectoris After Coronary Artery Revascularization

目的观察益气通脉煎剂治疗气虚血瘀型冠脉血运重建后心绞痛中医诊疗方案的临床疗效。方法将气虚血瘀型冠脉血运重建后心绞痛住院患者分为治疗组和对照组,治疗组和对照组各40例。治疗组在常规治疗基础上给予益气通脉煎剂治疗,对照组给予常规治疗,14 d后观察两组治疗前后心绞痛持续时间及发作次数、心电图改善情况、中医证候疗效。结果两组内治疗前后心绞痛持续时间和发作次数比较,治疗后结果优于治疗前,有统计学意义(P<0.01),治疗组与对照组心绞痛持续时间治疗后比较,治疗组比对照组较明显缩短(P<0.05)。中医证候改善情况治疗组优于对照组,差异有统计学意义(P<0.05)。两组患者治疗前后心电图改善情况比较,差异无统计学意义(P>0.05)。结论在西药治疗基础上应用益气通脉煎剂对预防和治疗冠脉血运重建后心绞痛有着良好的疗效。

Objective To observation the effect of Yiqi Tongmai Decoction on treating angina pectoris with angina pectoris reconstruction after coronary artery revascularization of Qi deficiency and blood stasis type.Methods Hospitalized patients with angina pectoris after coronary artery revascularization of qi deficiency and blood stasis type were divided into treatment group and control group,and 40 cases in treatment group and control group.The treatment group was treated with Yiqi Tongmai Decoction on the basis of conventional treatment,and the control group was given conventional treatment.After 14 days,the number and duration of angina pectoris attacks,improvement of ECG and TCM syndrome efficacy were observed before and after treatment.Results Comparing the duration and number of episodes of angina pectoris before and after treatment in the two groups,the results after treatment were better than those before treatment,which was statistically significant(P<0.01).Compared with the control group after treatment,the duration of angina pectoris was more obvious in the treatment group than the control shortened(P<0.05).The improvement of TCM syndromes was better in the treatment group than in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in ECG improvement between the two groups of patients before and after treatment(P>0.05).There was no significant difference in ECG improvement between the two groups of patients before and after treatment(P>0.05).Conclusion The addition of Yiqi Tongmai Decoction on the basis of Western medicine treatment has a good effect on the prevention and treatment of angina pectoris after coronary revascularization.