愈梗通瘀汤治疗冠心病心绞痛的临床观察

目的 :观察愈梗通瘀汤对冠心病气虚血瘀痰浊型和气虚血瘀型的治疗作用。方法 :将冠心病心绞痛患者分为愈梗通瘀汤治疗组 (45例 )和对照组 (3 8例 )。观察治疗前后心绞痛疗效、冠心病临床症状改善情况及血清总胆固醇 (TC)和甘油三酯 (TG)含量变化。结果 :心绞痛总有效率治疗组优于对照组 (P <0 0 0 5 ) ;改善冠心病临床症状 ,治疗组优于对照组 (P<0 0 0 5 ) ,治疗组气虚血瘀痰浊型优于气虚血瘀型 (P <0 0 5 )。治疗组疗后TC含量明显降低(P <0 0 0 5 )。结论 :愈梗通瘀汤缓解心绞痛 ,改善冠心病临床症状作用显著 ,对冠心病气虚血瘀痰浊型作用最佳 ,并有调节血脂作用。

英文摘要:

Objective: To observe the clinical effect of Yugengtongyu Decoction (YGTY) in treatment of coronary heart disease (CHD) with Qi deficiency, Blood stasis and phlegm stagnancy type and Qi deficiency and Blood stasis type. Methods: Patients were divided into two groups, 45 cases in the YGTY group and 38 cases in the control group. In alleviating angina pectoris and improving symptom of CHD, the serum total cholesterol (TC), serum triglyceride (TG) were determined before and after treatment. Results: The total effective rate of spontaneous angina pectoris were significantly better in the treated group than those in the control group (P<0 005). In improving symptom of CHD were significantly better in the treated group than those in the control group (P<0 005), and it was better the type of Qi deficiency, Blood stasis and phlegm stagnancy than type of Qi deficiency and Blood stasis in treated group (P<0 05). TC of the treated group was lowered markedly after treatment, as compared with that before treatment, the difference was significant (P<0 005). Conclusions: YGTY was effective for alleviating angina pectoris and improving symptom of CHD. It is best for the type of Qi deficiency, Blood stasis and phlegm stagnancy. It also has regulatory effect on the blood lipid.

关闭