温阳化瘀通痹法治疗不稳定性心绞痛78例

Wenyang Huayu Tongbi Method in the Treatment of Unstable Angina Pectoris for 78 Cases

目的观察化瘀通痹法治疗不稳定性心绞痛的临床疗效。方法将78例患者随机分为对照组38例,治疗组40例。对照组给予阿司匹林肠溶片、单硝酸异山梨酯片和低分子量肝素钙注射液治疗,治疗组在上述治疗的基础上加用中药化瘀通痹法治疗。两组均1个月为1个疗程,一个疗程后统计疗效。结果临床总体疗效:治疗组总有效率90%,对照组总有效率68%,中医证候疗效:治疗组总有效率92.5%;对照组总有效率79%。2组比较均有统计学意义(P<0.05)。心电图疗效:治疗组总有效率82.5%,对照组总有效率71%,2组比较无统计学意义(P>0.05),治疗组硝酸甘油停减率85%,对照组硝酸甘油停减率71%,2组比较无统计学意义(P)0.05)。结论中西医结合治疗冠心病不稳定性心绞痛疗效满意。

Objective To observe the clinical effect of Huayu Tongbi method in the treatment of unstable angina pectoris. Methods 78 patients were randomly divided into control of 38 cases and treatment group of 40 cases. The control group was given aspirin, isosorbide mononitrate tablets and low molecular weight heparin calcium injection. The treatment group received additionally Huayu Tongbi therapy based on the control group. The two groups＇ treatment course was 1 month. The effect was analyzed after 1 course. Results Overall clinical curative effect： the total effective rate of the treatment group and the control group was 90 % and 68%, respectively. The efficacy of TCM syndrome： the total effective rate of the treatment group and the control group was 92.5 % and 79%, respectivly. Comparing the treatment group with the control group, the difference was statistically significant（ P〈0.05）. Electrocardiogram curative effect： the total effective rate of the treatment group and the control group was 82.5% and 71%, respectively, and there wasn＇t statistical significance（P〉0.05）.The nitroglycerin stop minus rate of the treatment group and the control group was 85 % and 71%, respectively, and there wasn＇t statistical significance（ P〉0.05）. Conclusion The integrated medicine has good curative effect in the treatment of unstable angina pectoris of coronary heart disease.