中西医结合治疗冠心病心绞痛69例临床观察

Clinical observation of integrative medicine treatment of 69 cases of angina pectoris

目的:探讨中西医结合治疗疗法治疗冠心病心绞痛的临床疗效和不良反应。方法:将138例冠心病心绞痛患者随机分为对照组和观察组各69例;对照组给予常规西药治疗,观察组同时给予益气养阴化瘀方加减中药汤剂治疗,2个疗程后对比2组症状疗效、心电图疗效及不良反应。结果:观察组症状疗效总有效率95.65%,优于对照组85.51%,观察组心电图疗效总有效率85.51%,优于对照组70.1%,差异均有统计学意义(P<0.05);观察组不良反应发生率1.45%,明显少于对照组的11.59%,差异有统计学意义(P<0.01)。结论:中西医结合治疗冠心病心绞痛可显著改善患者的临床症状和心电图,同时显著减少不良反应发生,充分体现中西医结合的互补优势。

Objective： To investigate clinical efficacy and adverse reactions of integrative medicine treatment of angina pectoris. Methods： 138 patients with angina pectoris were divided into the control group （69）, treated by conventional western medicine and the observation group（69 ） ,treated by the Yiqiyangyin Huayu Decoction and Chinese medicine on the basis of conventional treatment. The symptoms, ECG efficacy and adverse reactions of two groups were compared after treatment. Results： After the treatment, the symptoms efficacy rate of the observation group （95.65%） was significantly higher than that in the control group（85.51%）; The ECG efficacy rate of the observation group（85.51% ） was significantly higher than that in the control group （ 70. 1% , （ P 〈 0.05 ） ; The incidence rate of adverse reactions of observation group （1.45%） was significantly less than that of the control group（ 11.59% ） , （P 〈 0.01 ）. Conclusion：The Integrative Medicine in the treatment of angina peetoris, can significantly improve the patientg clinical symptoms and ECG, while significantly reducing the incidence of adverse reactions, fully embodies the Integrative the complementary advantage.