瓜蒌薤白半夏汤化裁配合西药治疗冠心病心绞痛45例疗效观察

Observation of Gualou Xiebai Banxia Decoction Combined with Western Medicine Treating 45 Cases of Coronary Heart Disease Angina Pectoris

目的观察瓜蒌薤白半夏汤化裁配合西药治疗冠心病心绞痛的临床疗效;方法对照组:服用西药硝酸异山梨酯片、盐酸曲美他嗪片、阿司匹林肠溶片;治疗组:在对照组的基础上配合瓜蒌薤白半夏汤化裁,基本方:(黄芪、党参、瓜蒌、枳实、薤白、制半夏、丹参、红花、炒薏米、建曲),治疗组和对照组均14 d为1疗程,共28 d。心绞痛发作时静脉滴异舒吉、极化液,舌下含服硝酸甘油片。分析两组患者治疗后心绞痛症状缓解率及心电图的改善率。结果治疗组临床症状缓解总有效率为93.33%,对照组为75.56%;心电图改善率治疗组88.89%,对照组71.11%,两组临床症状疗效及心电图总有效率比较具有统计学意义(P<0.05),存在显著性差异。结论瓜蒌薤白半夏汤化裁配合西药治疗冠心病心绞痛的疗效明显优于单独西药治疗的疗效。

Objective to observe the effect of Gualou Xiebai Banxia decoction combinerl with western medicine treat- ment of the clinical curative effect of angina pectoris of coronary heart disease. Method the control group： Given Western medicine isosorbide dinitrate tablets, trimetazidine dihydrochloride tablets, aspirin enteric -coated tablets, the treatment group： based on the treatment of control group combined with Gualou Xiebai Banxia decoction, basic elements： （ Huang Qi, Codonopsis pilosula, snakegourd fruit, citrus fruit, longstamen onion bulb, pinellia tuber, radix salviae miltiorrhizae, safflower, fried barley, Qu Jian） , the treatment group and the control group all 14 d for 1 course, totally 28 d. When An- gina pectoris attacked, given intravenous isoket, polarized liquid, sublingnal nitroglycerin tablets. Analyze two groups of patients after the treatment of angina pectoris symptom remission rate and the ECG improvement rate. Results the clinical symptoms of the treatment group, total alleviated efficiency was 93.33 %, control group was 75.56 % ; electrocardiogram improvement rate of the treatment group was 88.89 % , control group was 71.11%, two groups of clinical symptoms and ECG total effective rate were statistically significant （ P 〈 0.05 ）, there were significant differences. Condusion the clin- ical curative effect of Gualou Xiebai Banxia decoction combined with western medicine treatment is obviously superior to the single western medicine treatment of angina pectoris of coronary heart disease.