益气养阴法治疗胸痹的疗效评价

Evaluation of Qi-supplementing and Yin-nourishing Method in Treatment of Chest Pain

目的:探讨益气养阴法舒心饮治疗胸痹(冠心病心绞痛)的临床疗效研究。方法:将冠心病心绞痛患者133例随机分为治疗组66例,对照组67例。治疗组选用益气养阴法舒心饮,对照组选用生脉饮,疗程共4周。主要观察治疗前后患者心绞痛发作频次、心电图、心功能等疗效指标。结果:(1)舒心饮可以减少心绞痛的发作频率与对照组相比具有显著差异(P<0.01)。(2)舒心饮可改善心电图ST-T的变化,与对照组比较无差异。(3)两组均能提高EF值,使患者的心功能较治疗前有明显好转(P<0.05)。结论:益气养阴法舒心饮较对照组可以减少心绞痛的发作频次,两组均可以改善患者心电图和心功能。

Objective：To investigate the clinical efficacy and safety of Shuxin Decoction on treating chest pain（angina pectoris）.Methods：133 cases with angina pectoris were divided into treatment group of 66 patients and the control group of 67 cases.Treatment group used Shuxin Decoction,control group used Shengmai Yin,lasting a total of four weeks treatment.Before and after treatment,angina pectoris frequency,TCM,ECG,cardiac function and other indicators of efficacy and safety indicators were mainly observed.Results：1.Compared with the control group,Shuxin Decoction can reduce the frequency of angina attacks with significant difference（p0.01）.2.Shuxin Decoction can improve the ST and T wave changes of ECG,there was no difference compared with the control group.Groups both can improve the EF values,and significantly improve the patient＇s heart function compared with those before treatment（P〈0.05）.3.Between the two groups,the incidence of adverse reactions had no significant difference（P〈0.05）.Conclusion：Shuxin Decoction group can reduce the frequency of angina attacks than the control group,relieve symptoms of chest tightness,and insomnia,and it is as safe as the control group.