中医药治疗冠心病不稳定型心绞痛的临床研究

Clinical Study on TCM in Treatment of Unstable Angina Pectoris

目的探析中医药治疗冠心病不稳定型心绞痛的临床效果。方法选取该院在2017年1月—2018年5月期间收治冠心病不稳定型心绞痛患者63例,对照组32例采用西药治疗;研究组31例在对照组基础上结合中医药治疗。观察对比两组心绞痛发作次数、发作时间、服药前后心电图变化。结果研究组心绞痛发病次数(2.23±0.77)次/周、(1.31±0.34)min/次明显优于对照组(3.86±1.03)次/周、(2.46±1.21)min/次,差异有统计学意义(t=3.354、4.645,P<0.05);研究组心电图检测指标(0.51±0.29)、(1.79±0.85)明显优于对照组(0.71±0.32)、(2.53±0.62),差异有统计学意义(t=4.561,t=4.235,P<0.05)。结论中医药相比西药在治疗冠心病不稳定型心绞痛的临床实践中治疗效果良好,值得临床推广应用。

Objective To study the clinical effect of TCM in treatment of unstable angina pectoris. Methods 63 cases of patients with unstable angina pectoris admitted and treated in our hospital from January 2017 to May 2018 were se lected and divided into two groups, the control group with 32 cases were treated with western medicine, while the re search group with 31 cases were treated with TCM on the basis of the control group, and the angina pectoris attack fre- quency, attack time, and changes of electrocardiogram before and after medication were observed. Results The angina attack frequency in the research group was obviously better than that in the control group[（2.23±.77）times/week, （1.31± 0.34）rain/times vs （3.86±l.03）times/week,（2.46±l.21）min/times,the difference was statistically significant （t =3.354, 4.645, P〈0.05）; and the electrocardiogram detection index in the research group was obviously better than that in the control group, [（0.51±.29）,（1.79±.85） vs （0.71±.32）,（2.53±.62）],the difference was statistically significant （t=4.561, 4.235, P〈0.05）]. Conclusion The effect of TCM in treatment of unstable angina pectoris is good, which is worth clinical promotion and application.