益气养阴活血法治疗颈源性心绞痛37例疗效观察

Effect of Qi-strengthening,Yin-nourishing and Blood-activating Therapy for Cervicogenic Angina Pectoris:An Observation of 37 Cases

目的:观察益气养阴活血法治疗颈源性心绞痛(气阴亏虚、血瘀阻络型)的临床疗效。方法:将73例患者随机分为2组,对照组36例采用硝酸异山梨醇、美托洛尔治疗;治疗组37例在对照组治疗基础上加用丹参注射液、参麦注射液静脉滴注治疗。结果:心绞痛临床疗效总有效率、心电图疗效总有效率治疗组分别为89.2%、81.1%;对照组分别为61.1%、50.0%,2组比较,差异均有非常显著性意义(P<0.05)。结论:在常规治疗基础上加用益气养阴活血法中药针剂治疗颈源性心绞痛(气阴亏虚、血瘀阻络型)具有较好的效果。

Objective:To observe the therapeutic effect of Qi-strengthening, yin-nourishing and blood-activating therapy for cervicogenic angina pectoris(CAP) which were differentiated as Qi-yin deficiency and blood-stasis blocking collater- als.Methods:Seventy-three CAP patients were randomized into two groups:the control group(n=36)received isosorbide dinitrate and metoprolol,and the treat- meat group B(n=37)received intravenous drip of Danshen Injection and Shen Mai Injection except the treatment for the control group.Results:The total therapeutic effective rate and the effective rate for electrocardiogram were 89.2% and 81.1% in the treatment respectively,and were 63.7% and 50.0% in the control group re- spectively,the difference being significant between the two groups(P<0.01). Conclusion:Application of Qi-strengthening,yin-nourishing and blood-activat- ing herbal medicine on the basis of routine western treatment exerts a better effect for CAP with Qi-yin deficiency and blood-stasis blocking collaterals.