【摘要】：目的:觀察加味炙甘草湯治療氣陰兩虛型穩(wěn)定型心絞痛的臨床療效。方法:搜集30位符合標(biāo)準(zhǔn)的氣陰兩虛型穩(wěn)定型心絞痛門診患者,給予炙甘草湯治療,并依據(jù)臨床癥狀,辯證進(jìn)行適當(dāng)加味。每天一付湯藥,早飯前、晚飯后半小時溫服,連續(xù)服用6周。觀察治療前和治療后的臨床癥狀積分變化,硝酸甘油減停率及缺血性心電圖變化,同時應(yīng)用SPSS19.0進(jìn)行統(tǒng)計學(xué)分析、處理。結(jié)果:1.中醫(yī)癥狀總積分比較:治療前總積分為15.57 ± 3.69,治療后總積分為 7.67±3.37,平均降低 7.90 ± 0.32,P 值0.05。2.中醫(yī)癥狀單項積分比較:治療前后主癥各項單項積分P值均0.01,治療前后次癥各項單項積分中面色晦滯,神疲懶言P值0.05,其余次癥單項積分P值均0.05。3.硝酸甘油減停率療效比較:停藥患者6名(20.00%),減量患者13名(43.33%),不變患者5名(16.67%),總減停率為63.33%。4.心電圖療效比較:顯效患者4名(13.33%),有效患者14名(46.67%),無效患者12名(40.00%),總有效率為60.00%。5.總有效率:30位患者的療效包括顯效8名(26.67%),有效17名(56.67%),無效 5 位(16.66%),總有效率 83.33%。結(jié)論:1.本論文所采用的加味炙甘草湯方劑對于氣陰兩虛型穩(wěn)定型心絞痛患者,可降低其中醫(yī)癥候積分,降低其硝酸甘油減停率,改善其臨床癥狀。2.加味炙甘草湯方劑可以改善氣陰兩虛型穩(wěn)定型心絞痛患者的缺血性心電圖。
[Abstract]:Objective: to observe the clinical effect of modified Zhigancao decoction on stable angina pectoris with deficiency of Qi and Yin. Methods: thirty outpatients with stable angina pectoris of Qi and Yin deficiency type were collected and treated with Zhigancao decoction. A daily soup medicine, before breakfast, half an hour after supper, take 6 weeks. The changes of clinical symptom score, nitroglycerin reduction rate and ischemic electrocardiogram were observed before and after treatment. SPSS19.0 was used for statistical analysis and treatment. Results: 1. Comparison of the total score of TCM symptom: the total integral before treatment was 15.57 鹵3.69, the total score after treatment was 7.67 鹵3.37, the average decrease was 7.90 鹵0.32 (P = 0.05.2). Comparison of the single score of TCM symptom: P value of each item integral of main symptom before and after treatment was 0.01, in every single integral of secondary symptom before and after treatment, the face was dull, the P value was 0.05, and the other symptoms were all 0.05.3. Comparison of the therapeutic effects of nitroglycerin: 6 patients (20.00%), 13 patients (43.33%), 5 patients (16.67%), 63.33.4. Electrocardiogram (ECG) efficacy was compared in 4 patients (13.33%), 14 patients (46.67%) and 12 patients (40.00%). The total effective rate was 60.00.5. The total effective rate of 30 patients included 8 patients (26.67%), 17 patients (56.67%), 5 ineffective patients (16.66%). The total effective rate was 83.33%. Conclusion: 1. In this paper, the prescription of modified Gancao decoction for stable angina pectoris with deficiency of both qi and yin can reduce the integral of TCM symptoms, reduce the stopping rate of nitroglycerin, and improve its clinical symptoms. 2. Modified Zhigancao decoction can improve the ischemic electrocardiogram of stable angina pectoris with deficiency of Qi and Yin.
【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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