养心氏片治疗心绞痛及冠心病临床试验资料研究

Clinical Trial Study on Effect of Yangxinshi Tablets in Treatment of Angina Pectoris of Coronary Heart Disease

检索养心氏片临床试验的文献，总结养心氏片治疗心绞痛、糖尿病性心绞痛、稳定型心绞痛、冠心病，共1281例。养心氏片临床疗效：心绞痛疗效总有效率72．0％～95．30％，中医症状疗效总有效率78．90％～95．00％，心电图疗效42．90％～81．30％；硝酸甘油停减率一般在50％以上判定为有效。与所选择的对照药相比，养心氏片的临床疗效优于所对照的西药硝酸异山梨酯（消心痛）、单硝酸异山梨酯；消心痛联合应用养心氏片较单用消心痛疗效好；临床疗效明显优于对照的复方丹参片及复方丹参颗粒，与麝香救心滴丸相当；降糖药联合应用养心氏片治疗糖尿病性心绞痛疗效显著。由此得出：养心氏片具有减轻心脏负荷，增加冠脉血流量，抗心肌缺血，延长耐缺氧时间及一定程度降低血压、血脂等作用，对冠心病、心绞痛有很好的疗效，尤其对气虚血瘀型心绞痛、心肌梗死更加有效。长期服用无毒副作用。

Through searching the clinical trial data of Yangxinshi Tablets, the total of 1281 cases were summed up for the effects of Yangxinshi Tablets on the treatment of angina pectoris, diabetes angina, stable angina, coronary heart disease. The clinical effects of Yangxinshi Tablets were as follows： the curative effect on angina was approximately 72.00% -95.30%, the curative effect on traditional Chinese medicine symptoms was 78.90 %-95.00%, the curativeeffect on electrocardiogram was 42.90 %-81.30 %, and nitroglycerin stop reduction rate is generally determined to be valid for more than 50 %. Compared with the chosen control drugs, clinical efficacy of Yangxinshi Tablets was better than isosorbide dinitrate and isosorbide mononitrate, which were western medicines. Clinical efficacy of the combination of isosorbide dinitrate and Yangxinshi Tablets was superior to Compound Danshen Tablets and Compound Danshen Granales, and equivalent to Musk Heart-saving Drop Pill. Combined application of Yangxinshi Tablets and hypoglycemic agents was effective in the treatment on diabetes angina. Consequently, Yangxinshi Tablets could reduce cardiac stress, increase coronary blood flow, resist myocardial ischemia, prolong antianoxia time, and lower blood pressure and blood lipids to a certain extent. Yangxinshi Tablets had good effects on coronary heart disease and angina, especially on Qi deficiency and blood stasis type angina and myocardial infarction. What is more, Yangxinshi Tablets could be used in a long time without toxic effect.