益气化痰活血法对气虚痰瘀型急性冠脉综合征患者血脂影响及临床疗效

Clinical Efficacy and Influence of Methods for Supplementing Qi Resolving Phlegm and Promoting Blood Circulation of Patients with Acute Coronary of Qi Deficiency and Phlegm and Blood Stasis Syndrome

目的:观察益气化痰活血法对急性冠脉综合征患者血脂的影响及治疗急性冠脉综合征的临床疗效。方法:采用随机分组方法将80例患者分为治疗组(40例)和对照组(40例)。治疗组给予西医规范治疗基础上接受益气化痰活血法中医药治疗,对照组单纯给予西医规范治疗,时间为14天。观察两组病例治疗前后心功能分级、心绞痛分级、心绞痛计分、血脂的变化,并常规检测不良反应指标。结果:治疗组对TC、TG、LDL-C水平下降程度优于对照组(P<0.05),HDL-C水平上升程度优于对照组(P<0.05);治疗组在改善心功能、心绞痛方面优于对照组(P<0.05)。结论:益气化痰活血法对气虚痰瘀型急性冠脉综合征患者有降脂作用,并进一步缓解临床症状,改善心肌缺血,减少心绞痛发作,优于单独西医治疗,值得临床推广应用。

Objective ： To observe the clinical efficacy of methods for supplementing Qi resolving phlegm and promoting blood circulation on patients with acute coronary syndrome. Methods：80 patients were randomized into treatment group（40 cases） and control group（40 cases）. The treatment group received treatment based on Western norms and methods for supplementing Qi resolving phlegm and promoting blood circulation, the control group was given a Western standard treat-ment for 14 days. Cardiac function grading, angina, angina score, changes in blood lipids, and routine testing of adverse indicators of patients in two groups were compared. Results ： The treatment group of TC, TG and LDL - C levels decreased more than those in the control group（P 〈 0.05 ）, HDL- C level rose more than that in the control group（P 〈 0.05 ） ;car diac function and angina improvement in the treatment group were superior to that in the control group（P 〈 O. 05）. Con clusion：Methods for supplementing Qi resolving phlegm and promoting blood circulation can lower lipids, relieve symp toms,improve myocardial ischemia,reduce angina pectoris of acute coronary syndrome patients. The effect is better than Western medicine treatment alone. This method is worthy of clinical ant）lications.