安舒汤辅助治疗经皮冠状动脉介入术后心绞痛35例临床观察

Clinical observation of Anshu decoction on the adjuvant treatment of angina pectoris after percutaneous coronary intervention

目的观察自拟安舒汤辅助治疗经皮冠状动脉介入术(percutaneous coronary intervention,PCI)后心绞痛的临床疗效。方法将70例PCI术后心绞痛患者随机分为2组。对照组35例予西医常规治疗,治疗组35例在对照组治疗基础上予自拟安舒汤,2组均4周为1个疗程,1个疗程后统计疗效。观察2组治疗前后Brawnwald心绞痛评分及心肌缺血总负荷变化。结果 2组治疗后Brawnwald心绞痛评分及心肌缺血总负荷较本组治疗前均有改善(P<0.05);治疗组治疗后Brawnwald心绞痛评分、心肌缺血总负荷改善优于对照组治疗后(P<0.05)。结论自拟安舒汤可改善PCI术后心绞痛患者的临床症状和心肌缺血时间。

Objective To investigate the effect of Anshu decoction on the adjuvant treatment of angina pectoris after percutaneous coronary intervention（PCI）.Methods 70 patients with angina pectoris after PCI were randomly divided into two groups.Patients in control group（n=35） were treated by routine therapy.Patients in treatment group（n=35） were treated by combination of Anshu decoction and routine therapy.The course was four weeks in two groups.The changes of Brawnwald angina score and the total ischemic load time were observed after a course.Results Brawnwald angina score and the total ischemic load time were improved after treatment in two groups as compared with those before treatment（P0.05）.The improvement of Brawnwald angina score and the total ischemic load time in treatment group was superior to that in control group（P0.05）.Conclusion Anshu decoction can improve the clinical symptoms and myocardial ischemic time in patients with angina pectoris after PCI.