增强型体外反搏联合中医辩证治疗不稳定性心绞痛疗效观察

Enhanced External Counterpulsation Combined With Traditional Chinese Medicine Dialectical in the Treatment of Unstable Angina Pectoris

目的观察增强型体外反搏(EECP)联合中医辨证(痰瘀闭阻)治疗冠心病不稳定性心绞痛(UA)的疗效。方法随机分为对照组、药物治疗组和反搏治疗组。对照组常规西药加EECP;药物治疗组常规西药加中药化痰活血、理气宽胸法治疗;反搏治疗组在常规西药加中药治疗基础上再加EECP。12天为一疗程,增强型体外反搏1小时/次,连续治疗3疗程。观察治疗前后心绞痛症状改善和心电图变化以及不良反应发生情况。结果所有治疗组心绞痛症状改善和心电图变化均有所改善,对照组、药物治疗组疗效相近,反搏治疗组疗效优于对照组、药物治疗组。结论增强型体外反搏联合中医治疗冠心病不稳定性心绞痛的疗效更高,各组均无不良事件发生。

ObjectiveTo observe the effect of enhanced external counterpulsation （EECP） combined with TCM syndrome （phlegm and blood stasis obstructing） in treatment of unstable angina pectoris （UA）.Methods Randomly divided into control group, medication group and ECP treatment group. The control group was treated with routine western medicine plus EECP, drug treatment group was treated with routine western medicine and traditional Chinese medicine phlegm and promoting blood circulation, regulating qi Kuanxiong therapy, counterpulsation in the treatment group based on conventional western medicine and traditional Chinese medicine treatment plus EECP. 12 days for a course of treatment, enhanced external counterpulsation 1 hour/ times, continuous treatment of 3 courses. Observed the angina pectoris of improving symptoms and ECG changes and the occurrence of adverse reactions before and after treatment.Results All treatment groups of angina pectoris symptoms and ECG changes were improved, the control group, drug treatment group curative effect close, counter pulsation therapy group was better than control group, drug group.Conclusion The therapeutic effect of enhanced external counter pulsation combined with traditional Chinese medicine treatment is good, and no adverse events occured.