养心通脉法治疗胸痹的可行性研究

Feasibility Study of Heart-nourishing and Blood Circulation-invigorating Method for Treatment of Thoracic Obstruction

目的研究养心通脉法治疗胸痹的临床效果。方法选择2013年9月-2015年11月沈阳市沈河区中医院收治的朐痹患者102例，随机分为对照组和观察组各51例。对照组服用消心痛，并针对心绞痛发作情况必要时加用硫酸唑酮或美多心安；观察组接受养心通脉法治疗。比较两组患者的治疗效果。结果观察组患者心绞痛治疗临床总有效率94．12％，心电图总有效率为92．15％，高于对照组的72．55％及66．67％，差异均有统计学意义妒〈0．05）。结论养心通脉法治疗胸痹的临床疗效确切，安全可行，具有积极的临床使用价值，值得进一步推广。

Objective To study the clinical effect of heart-nourishing and blood circulation-invigorating method for treatment of thoracic obstruction. Methods One hundred and two patients with thoracic obstruction in Shenhe District Hospital of Traditional Chinese Medicine of Shenyang from September, 2013 to November, 2015 were selected and randomly divided into control group and observation group with 51 cases in each group. The control group took isosorbide dinitrate, and added trazodone sulfate or metoprolol for angina pectoris when necessary. The observation group received heart-nourishing and blood circulation-invigorating treatment. The therapeutic effects of the two groups were compared. Results The clinical total effective rate of the observation group was 94.12% and the ECG total effective rate was 92.15%, which were both higher than those of the control group （72.55% and 66.67% respectively）. The differences were both of statistical significance （P 〈 0.05）. Conclusion The therapeutic effects of heart-nourishing and blood circulation-invigorating method in the treatment of thoracic obstruction is exact. The treatment is safe and feasible with positive clinical value and worthy of further promotion.