自拟方“心痛煎剂”治疗冠心病不稳定性心绞痛寒凝血瘀证200例的临床疗效分析

Clinical curative effect analysis of self-prescription xitong decoction in the treatment of 200 cases with cold coagulation and blood stasis of coronary heart disease and unstable angina

目的:探讨自拟方"心痛煎剂"对冠心病不稳定性心绞痛寒凝血瘀证200例的临床疗效。方法:将200例不稳定性心绞痛寒凝血瘀证患者随机分为试验组和对照组,每组100例,对试验组和对照组都给予充分的西药和健康教育,试验组在此基础上加用自拟心痛煎剂,疗程6个月。治疗前和治疗6个月后分别检测患者心肌酶谱、血脂、心电图和心绞痛及中医症状评分。结果:观察组治疗前后血心肌酶谱、血脂、心电图改变和心绞痛及中医症状评分差异均有统计学意义(P<0.01);对照组治疗前后血AKP差异有统计学意义(P<0.05)。结论:自拟方"心痛煎剂"能够显著降低心肌酶谱、血脂,使心电图缺血改善,心绞痛及中医症状评分降低,是治疗不稳定性心绞痛寒凝血瘀证的有效药物。

ObjectiveTo investigate the clinical curative effect of self-prescription xintong decoction in the treatment of 200cases with cold coagulation and blood stasis of coronary heart disease and unstable angina.Methods：200 cases of patients withcold coagulation and blood stasis of unstable angina were divided into two groups randomly.The control group was treated withconventional western medicine,the experiment group was treated with xintong decoction based on the control group,the myocardialenzymes,serum lipid, electrocardiogram and angina symptom scores and TCM symptom scores between the two groups werecompared.Results：The improvement of electrocardiogram in the treatment group was better than that in the control group （P〈0.05）.The total effective rate of angina symptom in the treatment group was significantly higher than that in the control group （P〈0.05）.Conclusion：Self-prescription xintong decoction in the treatment of 200 cases with cold coagulation and blood stasis ofunstable angina had significant clinical curative effect.