中西医结合治疗不稳定型心绞痛的临床观察

Clinical Observation on Therapy of Integrated Medicine in the Treatment of Unstable Angina Pectoris

目的分析血府逐瘀汤联合丹参多酚酸盐治疗冠心病不稳定型心绞痛的临床疗效。方法将我院确诊为冠心病不稳定型心绞痛的108例患者随机分为对照组及治疗组各54例,两组均给予抗凝、抗血小板及降脂等基础治疗,治疗组在此基础上,加用血府逐瘀汤口服和丹参多酚酸盐静滴,治疗2周后比较治疗前后两组心绞痛的改善状况、心电图疗效和血液流变学变化。结果治疗组心绞痛的改善状况及心电图疗效明显优于对照组(P<0.05),治疗组治疗后血液流变学变化程度也较对照组明显(P<0.05)。结论血府逐瘀汤联合丹参多酚酸盐治疗冠心病不稳定型心绞痛安全疗效。

Objective To analyze the clinical effect of Xuefu Zhuyu decoction and Salvia miltiorrhiza polyphenols in the treatment of unstable angina pectoris of coronary heart disease. Methods 108 cases of patients in our hospital diagnosed with unstable angina pectoris of coronary heart disease were randomly divided into control group and treatment group, and each group had 54 cases. The two groups were given anticoagulation, antiplatelet, and lipid-lowering and other basic treatment group. On this basis, the treatment group used Xuefu Zhuyu decoction and Salvia miltiorrhiza polyphenols intravenous drip. After two weeks, the improvement of angina pectoris, ECG efficacy and hemorheology of the two groups were compared. Results The improvement of angina pectoris of the treatment group was significantly better than that of the control group （P〈0. 05）, and the changes of hemorheology were significantly higher than those of the control group （P〈0. 05 ） . Conclusion The Xuefu Zhuyu decoction and Salvia miltiorrhiza polyphenols in the treatment of unstable angina pectoris of coronary heart disease has safety effect.