益气活血法治疗急性心肌梗塞的疗效观察

Observations on effect of benefiting qi for activating blood circulation therapy on AMI

目的 探讨益气活血中药对急性心肌梗塞的临床疗效.方法 临床随机分为两组各60例,对照组静脉滴注低分子右旋糖酐、硝酸甘油和肝素.一般用量硝酸甘油5～10 mg,肝素5000 U加于5%葡萄糖液250～500 ml中静滴.硝酸甘油用量开始时15μg/min,以后每3～5 min增加5～10μg/min,持续点滴,至症状得到控制.治疗组在对照组治疗基础上,加服益气活血中药治疗,两组均治疗2周为1个疗程,疗程结束后观察疗效.结果 治疗组总有效率为95.00%,对照组为81.67%,两组总有效率比较,差异有统计学意义（P=0.0341＜0.05）.随访3个月,治疗组发生缺血事件低于对照组（P=0.0284,P＜0.05）.结论 益气活血法结合西药治疗急性心肌梗塞优于单纯西医治疗,益气活血的中药有助于防治缺血事件的发生,改善患者预后.

Objective To approach the effect of benefiting qi and activating blood circulation therapy on AMI.Methods A total of 120 patients with AMI were recruited into a control group and a treatment group randomly. 60 cases in control group were treated with dextran, nitroglycerin and heparin. While 60 cases in the treatment group were treated with traditional Chinese medicines with the functions of benefiting qi and activating blood circulation on the basis of the control group. Therapeutic effects were observed after two weeks＇ treatment. Results The effective rat was 95.00% and 81.67% in the treatment group and the control group respectively, showing significant difference（P=0.0341 ＜0.05）. In the 3 months follow-up, ischemia happened in the treatment group was significantly lower than the control group （P=0.0284, P＜0.05）.Conclusion Combined treatment of TCM and western medicine is better than treatment of western medicine only. Benefiting qi and activating blood circulation therapy is effective on AMI and improves the prognosis.