摘要
目的观察血府逐瘀汤治疗急性心肌梗死后心绞痛的疗效。方法将急性心肌梗死后心绞痛患者68例随机分为2组各34例。2组均予相同的西医常规治疗,治疗组加服血府逐瘀汤,对照组加服复方丹参片。观察2组症状疗效及治疗前后心绞痛发作次数和持续时间、心电图ST段下移、T波倒置、证候积分变化情况。结果症状疗效方面,治疗组总有效率为88.4%,对照组为61.9%,2组比较有显著性差异(P<0.05)。治疗组治疗后心绞痛发作次数为(1.80±0.40)次/日,持续时间为(11.8±2.40)min,心电图ST段下移为(0.14±0.08)mV,T波倒置为(0.20±0.09)mV,与对照组治疗后(3.21±0.68)次/日(、15.8±3.60)min、(0.15±0.07)mV(、0.25±0.08)mV比较均有显著性差异(P<0.05)。治疗组治疗后胸痛、气短、心悸证候积分分别为(1.35±0.97)(、1.28±0.30)、(1.10±0.40)分,与对照组治疗后(2.13±0.47)、(1.45±0.52)(、0.44±0.52)分比较均有显著性差异(P【0.05)。结论血府逐瘀汤治疗血瘀型急性心肌梗死后心绞痛能有效缓解心绞痛发作,并有效改善血瘀证候。
Objective To observe the effect of angina after acute myocardial infarction treated by Xuefuzhuyu decoction. Method 68 cases with angina after acute myocardial infarction were randomly divided into two groups. Patients in control group （ n = 34） were treated only by routine Western Medicine therapy. And patients in treatment group （ n = 34） were treated by combination of Xuefuzhuyu decoction and routine Western Medicine therapy. The effect of angina duration and electrocardiogram down T wave inversion of ST stage were observed before and after treatment in both groups. Result Improvement of angina pectoris attacks times, duration, down ST stage of electrocardiogram and T wave inversion wave in treatment group（ 1.80 ±0. 40times/d, 11.8 ± 2.40 min, 0.14 ± 0.08mV, 0.20 ±0.09mV） were superior to those in control group （3.21 ± 0.68） times/d, （ 15.8 ± 3.60） min, （0.15± 0.07） mV, （0.25 ± 0.08） mV, P 〈 0.05）. Improvement of syndrome indexes of thoracalgia, short breath and cardiopalmus in treatment group（ 1.35 ± 0.97）, （ 1.28 ± 0.30）, （ 1.10 ± 0.40） were superior to those in control group （2.13 ± 0.47）, （ 1.45 ± 0.52）, （0.44 ± 0.52）, P 〈 0.05）. The total effecfive rate in treatment group （88.4%） was higher than that in control group （61.9%, P 〈 0.05）. Conclusion Xuefuzhuyu decoction could improve clinical symptoms, sign and syndrome of blood stasis of patients with angina after acute myocardial infarction.
出处
《河北中医》
2006年第11期838-840,共3页
Hebei Journal of Traditional Chinese Medicine
