血府逐瘀汤联合西药治疗心绞痛临床观察

Clinical Observation of Xuefu Zhuyu Tang Combined with Western Medicine for Angina Pectoris

目的:观察血府逐瘀汤联合西药治疗心绞痛的临床疗效。方法:选取本院收治的已确诊为冠心病心绞痛的患者100例,采用随机方法分为2组各50例。对照组给予西药治疗,观察组在对照组治疗方案的基础上加用血府逐瘀汤治疗,观察2组临床疗效、血脂情况及血液流变学情况。结果:临床疗效总有效率观察组9 6.0%,对照组7 2.0%,2组比较,差异有统计学意义(P<0.05)。治疗后,观察组总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)均较治疗前降低,高密度脂蛋白胆固醇(HDL-C)较治疗前升高,差异均有统计学意义(P<0.05);对照组各项指标治疗前后比较,差异均无统计学意义(P>0.05)。治疗后,治疗组各项指标分别与对照组比较,差异均有统计学意义(P<0.05)。与治疗前比较,治疗后,2组全血黏度(B V)、血浆黏度(PV)与纤维蛋白原(FIB)水平均低于治疗前,且观察组各项指标均低于对照组,差异均有统计学意义(P<0.05)。结论:血府逐瘀汤联合西药治疗冠心病临床疗效较单纯运用西药治疗临床疗效为佳,值得在临床上运用。

Objective：To study the analysis of the clinical effect of Xuefu Zhuyu tang combined with western medicine for Angina Pectoris. Methods： Selected 100 cases of patients diagnosed with angina pectoris who were hospitalized in the hospital, and divided them into two groups randomly,50 cases in each group. The control group was given western medicine,while the observation group additionally received Xuefu Zhuyu tang for treatment. Observed the clinical effect, blood lipid and hemorheology in both groups.Results：The total effective rate was 96.0% in the observation group and 72.0% in the control group,difference being significant（P〈0.05）. After treatment, the levels of total cholesterol（TC）, triglyceride（TG） and low density lipoprotein cholesterol（LDL-C） in the observation group were lower than those before treatment,and the level of high density lipoprotein cholesterol（HDL-C） was higher than that before treatment, differences being significant（P〈0.05）; comparing each index in the control group before and after treatment,there were no significant differences being found（P〈0.05）. After treatment,comparing each index in the observation group with those in the control group respectively,there were significant differences being found（P〈0.05）. After treatment,the levels of whole blood viscosity（BV）,plasma viscosity（PV） and fibrinogen（FIB） in both groups were lower than those before treatment,and each index in the observation group was lower than that in the control group,differences being significant（P〈0.05）. Conclusion：The clinical effect of Xuefu Zhuyu tang combined with westen medicine in treating coronary heart disease is better than the simple application of weatern medicine,which is worthy of the clinical application.