本文選題：芪桂益脈靈　切入點：穩(wěn)定型心絞痛　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:通過應(yīng)用芪桂益脈靈治療氣虛血瘀型穩(wěn)定型心絞痛伴抑郁狀態(tài)患者,對比治療前后心絞痛癥狀、中醫(yī)證候積分、心電圖缺血情況和HAMD積分,探討芪桂益脈靈治療穩(wěn)定型心絞痛伴抑郁狀態(tài)的臨床療效。方法:收集來自黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院心血管病四科門診就診,辨證符合氣虛血瘀型的穩(wěn)定型心絞痛伴抑郁狀態(tài)診斷標(biāo)準(zhǔn)的患者30例,給予中藥芪桂益脈靈進(jìn)行治療,每日1劑,300ml日兩次,早晚溫服。4周為一個療程,觀察一個療程,觀察并記錄治療前后患者心絞痛癥狀、中醫(yī)證候積分、心電圖缺血情況和HAMD積分情況,數(shù)據(jù)均采用SPSS19.0統(tǒng)計軟件進(jìn)行統(tǒng)計與分析。結(jié)果:1.心絞痛癥狀比較:治療后與治療前相比較,心絞痛發(fā)作次數(shù)、持續(xù)時間、疼痛程度、硝酸甘油使用量顯著下降,差異有統(tǒng)計學(xué)意義(P0.05)。2.中醫(yī)證候積分比較:治療后與治療前相比較,中醫(yī)證候積分顯著下降,差異有統(tǒng)計學(xué)意義(P0.05)。3.心電圖缺血情況:在心電圖療效方面,顯效3例,有效者11例,總有效率為46.67%。4.HAMD積分比較:治療后與治療前相比較,HAMD積分顯著降低,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:1.芪桂益脈靈能夠改善氣虛血瘀型穩(wěn)定型心絞痛伴抑郁狀態(tài)患者的心絞痛癥狀。2.芪桂益脈靈能夠有效降低氣虛血瘀型穩(wěn)定型心絞痛伴抑郁狀態(tài)患者的中醫(yī)證候積分。3.芪桂益脈靈能夠改善氣虛血瘀型穩(wěn)定型心絞痛伴抑郁狀態(tài)患者心電圖缺血情況。4.芪桂益脈靈能夠有效降低氣虛血瘀型穩(wěn)定型心絞痛伴抑郁狀態(tài)患者的HAMD積分。
[Abstract]:Objective: to compare the symptoms of angina pectoris, TCM syndromes, electrocardiogram ischemia and HAMD score before and after treatment with Qi-deficiency and blood-stasis stable angina pectoris and depression. To explore the clinical effect of Qigui Yimailing in treating stable angina pectoris with depression. Methods: four outpatients of cardiovascular diseases from the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine were collected. Thirty patients with stable angina pectoris associated with depression were treated with Qi-deficiency and blood-stasis type stable angina pectoris and depressive state. They were treated with Qigui Yimai Ling twice a day, once a day with 300ml / d, and taken warm for a course of 4 weeks in the morning and evening, and observed a course of treatment. The symptoms of angina pectoris, TCM syndromes score, electrocardiogram ischemia and HAMD score were observed and recorded before and after treatment. The data were analyzed by SPSS19.0 software. Results: comparing the symptoms of angina pectoris: compared with before treatment, the number of angina pectoris attack, duration of angina pectoris, pain degree and the usage of nitroglycerin decreased significantly after treatment. The difference was statistically significant (P 0.05) .2.Compared with that before treatment, the score of TCM syndromes decreased significantly after treatment, and the difference was statistically significant (P 0.05). 3. Electrocardiogram ischemia: in the effect of electrocardiogram, 3 cases were effective, 11 cases were effective. The total effective rate was compared with 46.67%.4.HAMD score. Conclusion 1. Qi-Gui Yi-mai Ling can improve angina pectoris symptom of stable angina pectoris with depressive state of Qi deficiency and blood stasis type. 2. Qigui Yimailing can effectively reduce stable angina pectoris of Qi deficiency and blood stasis type with inhibition of angina pectoris. Qi-Gui Yi-mai Ling can improve ECG ischemia in patients with Qi deficiency and Blood stasis type stable angina pectoris with depression state .4.Qigui Yimai Ling can effectively reduce Qi deficiency and Blood stasis stable angina pectoris. HAMD score of patients with depression.
【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】：R259

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