| Chao Yang.中西医结合和单纯西医方法治疗急性心肌梗塞疗效对比的初步观察——附276例分析[J].中国中西医结合杂志,1981,(1):10-12,61,62 |
| 中西医结合和单纯西医方法治疗急性心肌梗塞疗效对比的初步观察——附276例分析 |
| Initial Observations on Acute Myocardial Infarction in a Comparative Study between TCM and WM |
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| 中文关键词: 中西医结合 急性心肌梗塞 病死率 心律失常 显著差异 对照组 治疗后 并发症 中医研究院 心梗 |
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| 摘要点击次数: 1232 |
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| 中文摘要: |
| 从1978年6月～1980年5月,两院协作观察住院急性心肌梗塞病人276例。全部病例随机分组,以单数病例,用中医研究院中药研究所剂型室制的中药"抗心梗合剂"(由丹参、赤芍、玉金、黄芪、党参、黄精组成)结合西药治疗为中西医结合组;以偶数病例,单用西药方法治疗的为对照组。 |
| 英文摘要: |
| A total of 276 cases were divided at random into two groups.The odd number cases(group A,138 cases) were treated with TCM(anti-MI mixture)and WM,and the even number cases(group B,138 cases)were treated with TCM(anti-MI mixture)and WM,rand the even number cases(group B,138 cases)were treated with WM only.There were no significant differences in age range,distribution of sex,and occupation between the two groups.All had the complication of hypertension and most of the cases belonged to the type of energy (Qi)deficiency and blood stasis according to TCM classification. The main ingredients of anti-MI mixture are Salviae miltiorrhiza(丹参),Radix paeonia(赤芍),Curcuma Aromatica(郁金),Astragalus Membranaceus(黄芪),Codonopsis pilosula(党参),Polygonatum sibiricum(黄精). Besides the mixture for oral adminstration,intravenous agents were made from the first three drugs for circulation activation and stasis elimination,and from the last three drugs for strenghthening the energy(Qi 气) and nourishing vitality. A significantly higher incidence and mortality of the three major complications(cardiogenic shock,heart failure,and arrhythmia)were seen in group B than in group A.The mortality of cases within 24 hours after the onsct and that of the advanced age cases were also markedly higher in group B.The therapeutical results indicate a ccrtain role played by the anti-MI mixture in the prevention of the major complications.The results were confirmcd in animal experiments.However,the hospital mortality was 7.2% for group A and 13% for group B.showing no significant statistical difference(P>0.01)which may probably be attributed to the small number of cases studied. |
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