活血化瘀防窄汤预防PCI术后冠脉狭窄的疗效

The Curative Effect of Huoxue Huayu Fangzhai Decoction in the Prevention of Coronary Artery Stenosis after PCI

目的观察活血化瘀防窄汤联合阿司匹林预防冠心病PCI术后冠脉狭窄的疗效。方法本次研究患者均收治于2012年9月—2017年9月期间,共60例患者均确诊为冠心病患者,所有患者均在本院接受PCI术,将其按照入院编号尾数单双数分为对照组与观察组,尾数为单数作对照组(30例),给予对症治疗联合阿司匹林治疗,尾数为双数作观察组(30例),在对照组基础上配合使用活血化瘀防窄汤治疗。观察2组患者治疗效果。结果观察组治疗后血脂以及血液流变学均明显优于对照组治疗后血脂以及血液流变学(P<0.05);对照组患者总有效率为66.67%明显低于观察组总有效率93.33%(P<0.05);观察组患者治疗后中医证候积分明显优于对照组(P<0.05)。结论使用活血化瘀防窄汤联合阿司匹林预防PCI术后冠脉狭窄效果显著,可以有效改善患者血脂以及血液流血,预后效果良好,值得临床大力推广使用。

Objective To observe the effect of Huoxue Huayu Fangzhai decoction combined with aspirin on coronary artery stenosis after PCI.Methods From September 2012 to September 2017,60 patients were diagnosed as coronary heart disease. All the patients were treated with PCI in our hospital. The patients were divided into control group and observation group according to the even number of admission numbers.The control group was treated with symptomatic therapy combined with aspirin. The observation group was given Huoxue Huayu Fangzhai decoction on the basis of the control group. The curative effect was observed. Results The blood lipid and blood rheology of the treatment group were significantly better than those in the control group( P < 0. 05). The total effective rate in the control group and in the observation group was 66. 67 % and 93. 33 % respectively( P < 0. 05). The score of TCM syndrome in the observation group is better than that in the control group after treatment( P < 0. 05). Conclusion The use of the combination of blood circulation and blood stasis to prevent coronary artery stenosis after PCI is effective. It can effectively improve the blood fat and blood flow of the patient,and has a good prognosis effect. It is worthy of clinical intensive popularization and use.