本文選題：濕化氧療　切入點(diǎn)：不穩(wěn)定性心絞痛　出處：《南京中醫(yī)藥大學(xué)》2015年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：目的：觀察薤香方濕化氧療對(duì)冠心病不穩(wěn)定性心絞痛(痰濁壅滯證)患者近期臨床療效、心絞痛癥狀記分、中醫(yī)證候積分及心電圖的變化,分析薤香方濕化氧療對(duì)不穩(wěn)定性心絞痛的臨床療效。方法：根據(jù)本次試驗(yàn)納入標(biāo)準(zhǔn),選擇符合標(biāo)準(zhǔn)的冠心病不穩(wěn)定性心絞痛(痰濁壅滯證)患者共60例,隨機(jī)分為對(duì)照組(西醫(yī)常規(guī)治療+氧療)與治療組(西醫(yī)常規(guī)治療+薤香方濕化氧療),兩組各30例患者。對(duì)照組參照冠心病不穩(wěn)定心絞痛治療指南常規(guī)給藥,給予雙重抗血小板、抗凝、抗心肌缺血、他汀類(lèi)藥物降脂等治療,外加氧療,每日2次,每次30分鐘。治療組在對(duì)照組的基礎(chǔ)上加用薤香方(組方：薤白5g、石菖蒲5g、木香3g、降香3g、)濕化氧療,每日2次,每次30分鐘,兩組療程均為1周。觀察患者心絞痛癥狀、心絞痛癥狀記分、中醫(yī)證候積分及心電圖的變化。結(jié)果：兩組患者在性別、年齡、合并癥、心絞痛分型、心絞痛危險(xiǎn)程度分層、治療前心絞痛癥狀記分及中醫(yī)證候積上無(wú)統(tǒng)計(jì)學(xué)差異(P0.05),均具有可比性。經(jīng)治療后,兩組在心絞痛癥狀、中醫(yī)癥候方面均有所改善；兩組間心絞痛癥狀比較無(wú)差異性,在心電圖方面改善也不明顯(P0.05),治療組中醫(yī)證候變化較對(duì)照組明顯改善(P0.05)。本次治療過(guò)程中薤香方濕化氧療組未發(fā)生不良反應(yīng)。結(jié)論：薤香方濕化氧療可改善冠心病不穩(wěn)定性心絞痛(痰濁壅滯證)患者臨床癥狀,臨床上可作為冠心病不穩(wěn)定性心絞痛(痰濁壅滯證)的輔佐治療,值得推廣應(yīng)用。
[Abstract]:Objective: to observe the changes of short-term clinical effect, symptom score of angina pectoris, TCM syndromes integral and electrocardiogram in patients with unstable angina pectoris of coronary heart disease (CHD) treated by humidification oxygen therapy of Xiexixiang recipe. To analyze the clinical effect of Xiexiangfang humidification oxygen therapy on unstable angina pectoris. Methods: 60 patients with coronary heart disease with unstable angina pectoris (stagnation of phlegm and turbidity) were selected according to the criteria of this trial. They were randomly divided into two groups: control group (routine treatment of western medicine) and treatment group (routine western medicine treatment of Xiexiangfang humidified oxygen therapy), with 30 patients in each group. The control group was given regularly according to the guidelines for the treatment of coronary heart disease and unstable angina pectoris. Double antiplatelet, anticoagulant, anti-myocardial ischemia, statins, lipid-lowering, plus oxygen therapy, twice a day, Each time 30 minutes. The treatment group in the control group on the basis of Xiexiang prescription (group: Allium macrostemon 5gg, Acorus calamus 5g, woody 3g, Jiangxiang 3g) wetting oxygen therapy, twice a day, 30 minutes each time, the two groups were treated for 1 week. Observe the symptoms of angina pectoris in the two groups, and observe the symptoms of angina pectoris in the two groups, and observe the symptoms of angina pectoris. Results: sex, age, complication, angina pectoris type, angina pectoris risk degree were stratified in the two groups. Before treatment, there was no statistical difference in the score of angina pectoris symptoms and the accumulation of TCM syndromes, both of which were comparable. After treatment, the symptoms of angina pectoris and symptoms of TCM were improved in both groups, and there was no difference between the two groups in angina pectoris symptoms. The change of TCM syndrome in the treatment group was significantly better than that in the control group. There was no adverse reaction in Xiexiang Fang humidification oxygen therapy group. Conclusion: Xiexiang prescription humidification oxygen therapy can improve coronary heart disease. The clinical symptoms of patients with unstable angina pectoris (stagnation of phlegm and turbidity), It can be used as adjuvant therapy for unstable angina pectoris of coronary heart disease (stagnation of phlegm and turbidity).
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類(lèi)號(hào)】：R541.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 劉志宇;麥秀軍;徐鎮(zhèn)中;黃秋勝;鐘建瑜;;薤白加阿司匹林預(yù)防高�；颊哐苁录男Ч鸞J];華西醫(yī)學(xué);2010年04期

2 汪曉鳴;;高尿酸血癥對(duì)冠心病發(fā)病率的影響[J];淮海醫(yī)藥;2012年05期

3 陳惠新;;通心絡(luò)膠囊治療冠心病心絞痛的療效及對(duì)血液流變學(xué)、微循環(huán)的影響[J];青海醫(yī)藥雜志;2006年10期

4 鄧秀娟;芎香心痛液治療冠心病心絞痛42例[J];新中醫(yī);2002年01期

5 劉艷;張蕾;張運(yùn);燕芳芳;劉運(yùn)芳;鹿曉婷;劉文斌;趙玉霞;;動(dòng)脈粥樣硬化斑塊炎性因子表達(dá)及通心絡(luò)膠囊的干預(yù)作用[J];上海中醫(yī)藥雜志;2007年12期

6 盛華剛;;薤白的化學(xué)成分和藥理作用研究進(jìn)展[J];藥學(xué)研究;2013年01期

7 王淑賢;楊旭;;音樂(lè)療法和芳香療法對(duì)牙科焦癥治療效果對(duì)比分析[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);2014年10期

8 王世濤;;糖尿病患者血糖水平與冠心病發(fā)病率間的關(guān)系研究[J];糖尿病新世界;2014年13期

9 韓亞亮;劉萍;何新榮;吳雅麗;;石菖蒲揮發(fā)油的基本成分及其藥理作用研究進(jìn)展[J];中國(guó)藥物應(yīng)用與監(jiān)測(cè);2011年02期

10 劉靜;徐江濤;;芳香療法鎮(zhèn)靜催眠作用的研究進(jìn)展[J];醫(yī)學(xué)綜述;2012年05期

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