疏肝理气法治疗稳定型心绞痛患者临床研究

目的:慢性稳定性冠心病患者在传统治疗方法上再加疏肝理气治疗效果更好。方法:慢性稳定性冠心病患者分为基础药物治疗组和基础药物加疏肝理气药物治疗组,治疗4周后,通过治疗前后,分别记录心绞痛周发作频率,每次发作持续时间,经CCS分级和焦虑量表评分的改善情况进行评定。结果:治疗后,2组患者较治疗前临床症状改善,心绞痛发作频率(周)减少(P<0.05),每次发作持续时间缩短(P<0.05),含服硝甘次数减少(P<0.05),抑郁量表状况改善(P<0.05)。而对照组与治疗组治疗后比较,治疗组改善状况更好,各项指标也有统计学差异(P<0.05)。CCS分级两组都有改善,对照组由CCS分级Ⅲ级改善到Ⅱ级7例,达38.89%;Ⅱ级改善到Ⅰ级7例,达38.89%;治疗组由CCS分级Ⅲ级改善到Ⅱ级16例,达57.14%;Ⅱ级改善到Ⅰ级6例,达42.86%。结论:慢性稳定性冠心病患者在传统药物治疗基础上再加情志因素干预,予以疏肝理气治疗效果更好。

Stable ischemic heart disease in the older adults

1 Introduction Ischemic heart disease is caused by atherosclerotic and/or thrombotic obstruction of coronary arteries. Clinical spec- trum of ischemic heart disease expands from asymptomatic atherosclerosis of coronary arteries to acute coronary syn- dromes （ACS） including unstable angina, acute myocardial infarction （non-ST elevation myocardial infarction and ST elevation myocardial infarction）. Stable ischemic heart dis- ease （SIHD） refers to patients with known or suspected SIHD who have no recent or acute changes in their symp- tomatic status, suggesting no active thrombotic process is underway.