64例急性心肌梗塞出院后中医治疗的远期疗效观察

Since 1970 sixty-four cases of myocardial infarction have been given follow-up treatment predominantly with TCM,employing the methods of"disease identification"and"manifestation identification"in combination. Generally,in the first three years herbal decoction was used.Then,according to the patients’ response,herbal decoction was given in winter and patent herb preparations were used in summer.The action of both the decoction and pills was to invigorate the energy and heart action and to promote blood circulation.The results were as follows: four of these 64 patients dicd,two because of myocardial infarction and the other two because of some Other condition.The absolute survival rate was 93.8% and the relative rate was 96.9%.All patients showed improvement of angina pectoris,palpitation,shortness of breath and tightness in the chest.The ECG improvements include disappearance or reduction of amplitude of Q wave in 17 cases(28.3%)and shortening of ST-T segment in 36 cases (60%),totalling.to 88.3%. Finally the following four problems are discussed.(1)Basing upon the observation of these cases there appears to be no relationship between the prognosis and the age of the patients and location of the infarct.(2)As compared with the result of treatment with modern pharmacological preparations in 1975,the five year cumulative mortality seems to be on the decrease,indicating that the long term use of TCM may favorably affect the prognosis of myocardial infarction.(3)As seen from this series and data obtained by Beijing Cooperative Study Group of Coronary Heart Disease,the shorter the duration of the disease the higher would be the recurrence rate and the mortality of myocardial infarction.This fact indicates that rational energetic combination treatment during the early stage of this disease is of prime importance.(4)In cases of old myocardial infarction,the pathogenesis according to TCM theory,may be insufficiency and impairment of heart Yang(the vital function of the heart)blood stagnation and vessel blockade,which may be cured with the above-mentioned TCM therapy and a better prognosis may be expected.

关闭