三七通络汤辨治对变异型心绞痛患者动态心电图影响的临床研究

Clinical studies of Sangi Tonglero decoction on dynamic electrocardiogram in patients with variant angina pectoris

目的探讨三七通络汤治疗变异型心绞痛在动态心电图和临床效果上的影响,提高临床治疗水平。方法随机选取2010年2月~2013年2月110例变异型心绞痛患者为研究对象,对照组55例,采用氨氯地平治疗,观察组加用三七通络汤治疗,比较2组治疗后在心电图和临床效果方面差异性。结果动态心电图临床效果显示,对照组显效率、总有效率与观察组相比,差异显著(P<0.05);心绞痛临床效果显示,观察组显效率、总有效率与对照组相比,差异显著(P<0.05)。2组治疗后在血脂水平、血流流变学指标上差异有统计学意义(P<0.05)。结论动态心电图可作为变异型心绞痛首选检查方法,加用三七通络汤后可显著提高治疗效果。

Objective To investigate the effect of Sangi Tonglero decoction on dynamic electrocardiogram and clinical results, in order to improve the level of clinical treatment. Method 110 Patients with variant angina pectoris in February 2010 to February 2013 were selected and divided randomly into two groups. 55 patients in control group were given amlodipine treatment , the other in observation group were added Sangi Tonglero decoction beside amlodipine treatment. The differences in electrocardiogram and clinical effects between two groups after treatment were compared. Results The clinical results of dynamic electrocardiogram and angina were showed that the efficiency rate and total efficiency rate in observation group were significantly higher than that in control group(P<0.05). The difference of lipid levels, blood rheology indicators between two groups after treatment were statistically significant (P<0.05). Conclusion Dynamic electrocardiogram is a preferred method of checking variant angina pectoris , and Sangi Tonglero decoction can significantly improve the therapeutic effect .