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人参养营汤合血府逐瘀汤治疗胸痹随机平行对照研究

Xuefuzhuyu Decoction and Renshen Yangying Soup Treatment Chest Pain Randomized Controlled Study
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摘要 [目的]观察人参养营汤合血府逐瘀汤治疗胸痹疗效。[方法]使用随机平行对照方法,将67例住院患者按病志号抽签法简单随机分为两组。对照组31例单硝酸异山梨酯,20mg/次,2次/d;阿司匹林,100mg/次,1次/d;硝酸甘油,0.5mg/次,心绞痛发作时舌下含服。治疗组36例人参营养汤合血府逐瘀汤(人参20g,地黄12g,桂皮10g,当归22g,白术10g,茯苓6g,芍药、远志各10g,陈皮12g,黄芪10g,甘草18g,五味子10g,桃仁12g,生地、赤芍、红花、牛膝、枳壳、桔梗各10g,川芎、柴胡各6g;伤寒加桂枝、细辛;气滞加沉香);1剂/d,水煎200m L,早晚口服。连续治疗15d为1疗程。观测临床症状、焦虑评分、抑郁评分、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效12例,有效21例,无效3例,总有效率91.67%。对照组显效10例,有效12例,无效9例,总有效率70.97%。治疗组疗效优于对照组(P<0.05)。评分指标两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]人参养营汤联合血府逐瘀汤治疗胸痹疗效满意,无副作用,值得推广。 [Objective]To observe the blood Xuefuzhuyutang combined ginseng yangying Chest Pain treatment efficacy.[Methods]Randomized parallel controlled method,67 cases of hospitalized patients by disease Zhi No.The control group 31 cases isosorbide dinitrate,20 mg/times,2 times/d.Aspirin,100 mg/times,1 times/d.Nifedipine tablets,5 mg/time,after sublingual angina.The treatment group 36 cases ginseng nutrition soup together Xuefuzhuyu soup(Renshen 20 g,Dihaung 12 g,Guipi 10 g,Danggui 22 g,Baizhu 10 g,Fuling 6g,Shaoyao,Yuanzhi 10 g,Chenpi 12 g,Huangqi 10 g,Gancao 18 g,Wuweizi 10 g,Taoren 12 g,Shengdi,Chishao,Ho nghua,Niuxi,Zhike,Jiegeng 10 g,Chuanxiong,Chaihu 6g;typhoid Guizhi,Xixin;qi stagnation plus Chenxiang);1/d,decoction 200 m L,sooner or later orally.15 d for a course of continuous treatment.Observation of clinical symptoms,anxiety and depression scores,adverse reactions.One course of treatment,to determine efficacy.[Result]In treatment group 12 cases markedly effective in 21 cases,3 cases,the total efficiency of 91.67%.The control group 10 cases markedly effective in 12 cases,9 cases,the total efficiency of 70.97%.Treatment group than the control group(P〈0.05).Rating indicators improved in both groups(P〈0.01),the treatment group than the control group improved(P〈0.01).[Conclusion]Blood Xuefuzhuyutang combined ginseng yangying Chest Pain treatment results were satisfactory,no side effects,worthy of promotion.
作者 伍先华
出处 《实用中医内科杂志》 2015年第10期53-55,共3页 Journal of Practical Traditional Chinese Internal Medicine
关键词 胸痹 血府逐瘀汤 人参养营汤 单硝酸异山梨酯 阿司匹林 硝酸甘油 焦虑评分 抑郁评分 中医药治疗 随机平行对照研究 chest pain Renshen yangying soup Xuefuzhuyu soup isosorbide dinitrate aspirin nifedipine an xiety scores depression score medical treatment randomized controlled study
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