温通蠲痹汤治疗无症状心肌缺血疗效观察

Clinical observation of “Wentong Juanbi Decoction”in treating silent myocardial ischemia

目的观察温通蠲痹汤治疗无症状心肌缺血(SMI)的临床疗效。方法将90例SMI患者随机分为两组,各45例;对照组给予复方丹参滴丸口服,治疗组给予温通蠲痹汤口服,疗程4周。观察两组临床疗效、动态心电图ST段压低持续时间和ST段压低次数。结果治疗组总有效率为93.3%,对照组为80.0%;治疗组临床疗效优于对照组(P<0.05)。治疗后两组ST段压低持续时间明显缩短,ST段压低次数明显减少(P<0.01),且治疗组两者的改善优于对照组(P<0.05)。结论温通蠲痹汤治疗SMI临床疗效确切。

Objective To observe the clinical efficacy of ＂Wentong Juanbi Decoction＂ in the treatment of silent myocardial ischemia （ SIM ）. Methods Ninety subjects were randomized into two groups： treatment group in which 45 cases were treated with ＂Wentong Juanbi Decoction＂ and control group in which 45 cases were treated with ＂Compound Danshen Dripping Pills＂, with a course of four weeks. The clinical efficacy, depression period and frequency of ST segment were observed. Results The overall effective rate was 93.3 % in the treatment group and 80.0% in the control group, with better effect in the treatment group than in the control group （ P 〈 0.05 ） ; after treatment, the depression period of ST segment was shortened and the depression frequency of ST segment was reduced in both groups （ P 〈 0.01 ）, with more significant improvement in the treatment group than in the control group （ P 〈 0.05 ）. Conclusion ＂Wentong Juanbi Decoction＂ is quite effective for silent myocardial ischemia（SIM）.