探讨中西医疗法在冠心病心肌供血不足的临床效果

Discussion of the Clinical Effect of Chinese and Western Medicine Therapy on Coronary Heart Disease Myocardial Blood Supply Shortage

目的探讨中西医疗法在冠心病心肌供血不足的临床效果。方法选取50例2013年1月—2014年4月来该院进行冠心病心肌供血不足患者,按照随机数字表的方法,将其随机分成对照组与试验组,每组25例患者。对照组的患者使用常规的诊治方法,试验组的患者使用中西医结合的诊治方法,将试验组与对照组两组患者治疗的效果进行详细的对比分析。结果经过治疗后,试验组患者中有23例患者诊治效果显著,总有效率达到92%,对照组患者中有15例患者诊治效果显著,总有效率达到60%,差异有统计学意义(P<0.05);两组患者治疗前后心绞痛发作次数以及持续时间差异有统计学意义,其中,试验组患者治疗前和治疗后的心绞痛发作次数是(1.4±1.0),(0.2±0.1),对照组患者治疗前和治疗后心绞痛发作次数是(1.2±1.3),(0.8±0.7),差异有统计学意义;试验组患者治疗前和治疗后心绞痛持续时间为(10.4±2.2),(2.8±1.5)。对照组治疗前和治疗后心绞痛持续时间(11.2±2.5),(5.3±1.4),二者差异有统计学意义(P<0.05)。结论在冠心病心肌供血不足的患者诊治过程中,在西药的基础之上,使用中药进行结合治疗,患者能够取得非常好的临床成效,值得在临床上大力推广。

Objective To study the clinical effect of Chinese and western medicine therapy on coronary heart disease myocardial blood supply shortage. Methods 50 cases with coronary artery disease myocardial blood supply shortage admitted in our hospital from January 2013 to April 2014 were selected and randomly divided into the control group and the experimental group with 25 cases in each according to the random number table method. Patients in the control group were treated with the conventional methods of diagnosis and treatment, and patients in the experimental group were treated with the methods of diagnosis and treatment of combination of Chinese and western medicine. And the treatment effect of the two groups was compared and analyzed in detail. Results After treatment, the effect of diagnosis and treatment was remarkable in 23 cases in the experimental group, the total effective rate reached 92%, while the effect of diagnosis and treatment was remarkable in 15 cases in the control group, the total effective rate reached 60%, the difference between the two groups was statistically significant （P〈0.05）. There were statistically significant differences in angina frequency and duration of both groups before and after treatment. The angina frequency of the experimental group was （1.4±1.0） times, （0.2±0.1） times, respectively, while that of the control group was （1.2±1.3） times, （0.8±0.7） times, respectively, the difference was statistically significant; the angina duration of the experimental group before and after treatment was （10.4±2.2）, （2.8±1.5）, respectively, and that of the control group was （11.2±2.5）, （5.3±1.4）, respectively, the difference was statistically significant （P〈0.05）. Conclusion In the process of diagnosis and treatment of coronary heart disease patients with myocardial blood supply shortage, on the basis of western medicine, the use of combination of traditional Chinese medicine for treatment can achieve very good clinical effect, which is worth promoting extensively in clinical practice.