中西医结合治疗稳定型劳累性冠心病心绞痛疗效观察

Curative Observation of Applying Integrative Medicine in the Treatment of Patients with Stable Exertional Angina Pectoris

目的：观察益气活血法对冠心病心绞痛稳定型劳累性患者的疗效及其对中医证候的改善情况。方法：选取2011年1月~2014年2月入住我院的108例冠心病心绞痛患者为研究对象,随机分为治疗组及对照组,观察益气活血法治疗后两组疗效及中医证候的差异。结果：益气活血法治疗后对心绞痛的总有效率达90.70%,高于对照组的75.90%（P〈0.05）;治疗组对中医证候疗效改善的总有效率为79.60%,高于对照组的61.10%（P〈0.05）;治疗组中患者对硝酸甘油的消耗量明显低于对照组（P〈0.05）。结论：益气活血疗法对于改善稳定型劳累性冠心病心绞痛患者的中医证候及冠心绞痛症状有明显疗效。

Objective： Evaluating the effect of tonifying Qi and promoting blood therapy in the treatment of patients with stable exertional angina pectoris and its effect on TCM syndromes. Methods： 108 patients were obtained in hospital during the period from January 2011 to February 2014,and was randomly divided into controlled group and treatment group. Evaluating the improvement of angina pectoris and the change of TCM symptoms with the treatment of tonifying Qi and promoting blood therapy.Results： The treatment group showed an effective rate of 90. 70% while the effective rate of the controlled group was only75. 90%（ P〈0. 05）. The improvement rate of TCM syndromes was 79. 60% and 61. 10% respectively in the treatment group and the controlled group（ P〈0. 05）. Besides,patients in the treatment group take less nitroglycerin than patients in the controlled group（ P〈0. 05）. Conclusion： Tonifying Qi and promoting blood therapy shows a relatively significant effect in treating stable exertional angina pectoris.