【摘要】：目的:觀察運用溫陽祛瘀法聯(lián)合西藥治療冠心病不穩(wěn)定型心絞痛(陽虛血瘀型)的臨床療效。方法:入組患者選自黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院心內(nèi)四科病房住院患者,其中符合納入標準患者60例,隨機分為對照組和治療組,每組各30例。治療組給予西醫(yī)常規(guī)治療加服中藥湯劑,對照組給予西醫(yī)常規(guī)治療。以14天為一療程,觀察記錄患者治療前后證候積分,心電圖療效分析,血清同型半胱氨酸,將所采集數(shù)據(jù)運用SPSS19.0軟件進行處理得出結(jié)論。結(jié)果:1.證候積分:治療前兩組證候積分無差異(p0.05),治療后兩組證候積分組內(nèi)對比均有改善(p0.05),且治療組優(yōu)于對照組(p0.05)有統(tǒng)計學(xué)意義。2.心電圖療效分析:治療前兩組心電圖療效分析比較無差異(p0.05),治療后治療組心電圖缺血改善情況優(yōu)于對照組(p0.05)有統(tǒng)計學(xué)意義。3.血清同型半胱氨酸:治療前兩組無差異(p0.05),治療后將組內(nèi)進行比較兩組治療后數(shù)值均優(yōu)于治療前,治療后組間數(shù)據(jù)治療組明顯優(yōu)于對照組并且經(jīng)統(tǒng)計學(xué)分析顯示(p0.05)有統(tǒng)計學(xué)意義。結(jié)論:1.溫陽祛瘀法聯(lián)合西醫(yī)常規(guī)治療可改善冠心病不穩(wěn)定型心絞痛(陽虛血瘀型)的臨床癥狀。2.溫陽祛瘀法聯(lián)合西醫(yī)常規(guī)治療可改善冠心病不穩(wěn)定型心絞痛(陽虛血瘀型)患者的缺血性心電圖。3.溫陽祛瘀法聯(lián)合西醫(yī)常規(guī)治療可降低冠心病不穩(wěn)定型心絞痛(陽虛血瘀型)血清同型半胱氨酸水平。
[Abstract]:Objective: to observe the clinical effect of warming yang and removing blood stasis combined with western medicine on unstable angina pectoris of coronary heart disease. Methods: the inpatients were selected from the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. Among them 60 patients were randomly divided into control group and treatment group with 30 cases in each group. The treatment group was treated with routine western medicine plus traditional Chinese medicine decoction, while the control group was given routine western medicine treatment. Taking 14 days as a course of treatment, we observed and recorded the syndromes integral, electrocardiogram curative effect analysis and serum homocysteine before and after treatment. The collected data were processed with SPSS19.0 software to get the conclusion. Results: 1. Syndrome score: there was no difference between the two groups before treatment (p0.05). After treatment, the comparison between the two groups was improved (p0.05), and the treatment group was better than the control group (p0.05). 2. Electrocardiogram effect analysis: there was no difference between the two groups before treatment (p0.05). The improvement of ECG ischemia in the treatment group was better than that in the control group (p0.05). There was significant difference between the treatment group and the control group (p0.05). Serum homocysteine: there was no difference between the two groups before treatment (p0.05). After treatment, the data treatment group was significantly better than the control group and the statistical analysis showed that there was statistical significance (p 0.05). Conclusion: 1. Warming yang and removing blood stasis combined with routine western medicine treatment can improve the clinical symptoms of coronary heart disease unstable angina pectoris (yang deficiency and blood stasis type). 2. Warming Yang and removing blood stasis combined with routine western medicine treatment can improve the coronary heart disease unstable angina pectoris (Yang deficiency and blood stasis type) patients with ischemic electrocardiogram. 3. Warming yang and removing blood stasis combined with routine western medicine treatment can reduce the serum homocysteine level of unstable angina pectoris of coronary heart disease (Yang deficiency and blood stasis type).
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R541.4

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