本文關鍵詞：加味桃紅四物湯對氣虛血瘀型不穩(wěn)定型心絞痛全血粘度的影響　出處：《黑龍江中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

  更多相關文章： 冠心病心絞痛 氣虛血瘀 加味桃紅四物湯 全血粘度

【摘要】：目的：通過加味桃紅四物湯治療冠心病不穩(wěn)定型心絞痛(氣虛血瘀證)觀察患者心絞痛的癥狀、硝酸甘油停減率、中醫(yī)癥候和全血粘度的變化,明確加味桃紅四物湯的臨床療效。方法：所有病例均來自黑龍江中醫(yī)藥大學附屬第一醫(yī)院選取2014年12月-2015年12月住院患者60例,分為治療組和對照組,對照組給予常規(guī)西醫(yī)治療,治療組在西醫(yī)常規(guī)治療的基礎上加上加味桃紅四物湯。以3周為1個療程,進行療效評定。觀察和分析兩組治療前后心絞痛癥狀、硝酸甘油減停率、中醫(yī)證候療效及全血低、高切粘度等變化情況。結果：①心絞痛改善狀況比較：對照組總有效率為83.33%；治療組總有效率為96.67%,兩者比較,差異有統(tǒng)計學意義(P0.05)。②中醫(yī)癥候療效總有效率比較：對照組總有效率80.0 0%；治療組總有效率86.67%；兩者比較,差異有統(tǒng)計學意義(P0.05)。③硝酸甘油停減率比較方面：對照組停減率為70.00%；治療組停減率為86.67%,經統(tǒng)計學檢驗p0.0 5,差異有統(tǒng)計學意義。④全血粘度比較方面：治療組與對照組在治療后全血高切粘度p0.05,無統(tǒng)計學意義；全血低切粘度P0.05,差異有統(tǒng)計學意義。結論：1.加味桃紅四物湯能改善冠心病不穩(wěn)定性心絞痛氣虛血瘀證患者的臨床癥狀、提高中醫(yī)癥候總療效及降低硝酸甘油停減率。2.加味桃紅四物湯可以降低不穩(wěn)定性心絞痛氣虛血瘀證患者的全血低切粘度水平3.加味桃紅四物湯對全血高切粘度方面未見明顯優(yōu)勢。
[Abstract]:Objective: to observe the changes of symptoms of angina pectoris, stopping and decreasing rate of nitroglycerin, TCM symptoms and whole blood viscosity of patients with unstable angina pectoris (Qi deficiency and blood stasis syndrome) treated with modified Taohong Siwu decoction. Methods: all cases were selected from the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine from December 2014 to December 2015. Divided into the treatment group and the control group, the control group was given routine western medicine treatment, the treatment group on the basis of routine Western medicine treatment plus modified Taohong Siwu decoction. 3 weeks as a course of treatment. To evaluate the efficacy. Observe and analyze the symptoms of angina pectoris before and after treatment nitroglycerin stop rate TCM syndromes efficacy and blood low. Results the improvement of angina pectoris in the control group was 83.33, and that in the control group was 83.33. The total effective rate of the treatment group was 96.677.The difference between the two groups was statistically significant. The total effective rate of traditional Chinese medicine syndrome was compared: the total effective rate of the control group was 80.0; The total effective rate of the treatment group was 86.67; The difference was statistically significant (P 0.05.3) in the comparison of the stopping and decreasing rate of nitroglycerin: in the control group, the stopping rate was 70.005%; The reduction rate of the treatment group was 86.67. The difference was statistically significant (p0.05). The whole blood viscosity of the treatment group and the control group was higher than that of the control group (p0.05). No statistical significance; Conclusion the modified Taohong Siwu decoction can improve the clinical symptoms of patients with Qi-deficiency and blood-stasis syndrome of coronary heart disease with unstable angina pectoris. Improve the general curative effect of TCM symptoms and reduce the stopping and decreasing rate of nitroglycerin .2.Jiawei Taohong Siwu decoction can reduce the whole blood low shear viscosity level of patients with Qi-deficiency and blood stasis syndrome of unstable angina pectoris 3.Jiawei Taohong Siwu decoction can reduce the whole blood high shear rate. There is no obvious advantage in viscosity.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R259

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