复方丹参滴丸及运动法联合西药治疗老年性心绞痛随机平行对照研究

Compound Danshen Dropping Pill and Exercise Method that Western Medicine Treatment of Senile Angina Random Parallel Control Study

[目的]观察复方丹参滴丸及运动法联合西药治疗老年性心绞痛疗效。[方法]使用随机平行对照方法,将130例住院患者按随机数字表法分为两组。对照组65例常规阿司匹林、硝酸酯类、该拮抗剂等降脂药物,并用生脉注射液40mL+葡萄糖注射液250mL,1次/d,滴注。治疗组65例复方丹参滴丸0.27g/次,3次/d。运动,在病房配抢救器材和药物,出现心绞痛或心电图发生改变则要立即停止运动,待回复后继续进行。2次/d,10～20min/次。西药治疗同对照组。连续治疗15d为1疗程。观测临床症状、心绞痛发作、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效47例,有效15例,无效2例,总有效率96.92%。对照组显效22例,有效14例,无效29例,总有效率55.38%。治疗组疗效优于对照组(P<0.05)。[结论]复方丹参滴丸及运动法联合西药治疗老年性心绞痛效果显著,值得推广。

[Objective]To observe the compound danshen dropping pill and motion method combined western medicine treatment of senile angina pectoris curative effect.[Methods]Using random parallel control method,130 cases of hospitalized patients into two groups according to random number table method.Control group,65 cases of regular aspirin,nitrates,such as the antagonist lipid-lowering drugs,born with pulse injection 40 ml + glucose injection 250 ml,1 / d,intramuscular injection.The treatment group of 65 cases of compound danshen dropping pill 0.27 g/time,3 times/day.Sports,rescue equipment and drugs in the ward,angina or electrocardiogram change should immediately stop motion,after waiting for reply to continue.2 times/ d,10 ～ 20 min/time.Western medicine treatment with the control group.15d continuous treatment for 1 course of treatment.Observation of clinical symptoms and adverse reactions.For 2 course of treatment,to judge curative effect.[Results]the treatment group(47 cases were markedly effective,effective 15 cases,2 had no effect,the total effective rate was 96.92%.Control group 22 cases had marked effect,14 cases effective,invalid 29 cases,the total effective rate was 55.38%.The treatment group curative effect is better than that of control group(P<0.05).[Conclusion]Compound danshen dropping pill and exercise method that western medicine treatment of senile angina pectoris effect is remarkable,is worth promoting.