化痰活血法对冠心病心绞痛病人血浆同型半胱氨酸水平的影响

Influence of method of resolving phlegm and promoting blood circulationon Hyc of patients with CAD

目的:通过化痰活血中药结合西药治疗冠心病心绞痛病人,观察冠心病心绞痛与血浆同型半胱氨酸(Hcy)水平的关系,确定化痰活血中药对血管内粥样板块的治疗作用。方法:82例病人随机分为对照组和治疗组,对照组采用纯西药,治疗组除西药外加用化痰活血中药,观察血浆同型半胱氨酸水平的变化。结果:对照组同型半胱氨酸水平治疗后较治疗组高(0.01<P<0.05),但比治疗前低(P<0.01),治疗组治疗后亦较治疗前低(P<0.01)。结论:加用化痰活血中药比单纯运用西药降低血浆同型半胱氨酸水平效果明显,两种治疗方法均可通过降低同型半胱氨酸水平,减小血管内粥样斑块,缓解心绞痛症状。

Objective：To observe the relationship between CAD and Hcy by the treatment of resolving phlegm and promoting blood circulation combined with western medicinein order to make sure the curative effect of TCM on CAD. Method： 82 cases were randomly divided into a control group and a treatment group. Patients in the control group were treated with western medicine, while patients in the treatment group were treated with Chinese medicine with the function of resolving phlegm and promoting blood circulation based on the western medicine. The changes of Hyc level of the two groups were observed. Results：The Hyc level of the control group was higher than that of the treatment group （0.01〈P〈0.05）;but it was lower than preceding therapy, （P〈0.01）, the treatment group was also lower than preceding therapy（P〈0.01）.Conclusion：Chinese medicine of resolving phlegm and promoting blood circulation can decline the level of Hyc, diminish the atheromatous plaque in coronary artery and release symptom of angina pectoris.