营心通脉方治疗冠心病心绞痛气阴两虚型的临床探究.pdfVIP

提 要 目的：本研究通过临床观察营心通脉方对于冠心病心绞痛气阴两虚型的疗效并探 讨其作用机理，从而证明益气养阴法在治疗冠心病心绞痛的重要地位。 方法：在对本方的临床研究中，将 60 例冠心病心绞痛证属于气阴两虚型的患者 随机分为两组。治疗组 30 例，除常规西药治疗外每日予营心通脉方一剂治疗。对照 组 30 例，只予以常规西药治疗。4 周后观察两组患者治疗前后的临床症状、心电图 改变等，并进行统计学分析。 结果：营心通脉方对冠心病心绞痛的治疗在改善心电图表现、改善中医症状以及 减少硝酸甘油服用量和降低化验室指标治疗组疗效要优于对照组。 结论：营心通脉方在临床上对气阴两虚型心绞痛疗效以及在改善患者症状、体征 以及主要疗效性指标方面明显优于对照组。在治疗中没有发现不良反应，所以在临床 应用上是安全有效的，这充分体现了中医中药在治疗冠心病心绞痛方面有着广阔的前 景。 关键词 冠心病心绞痛；气阴两虚型；营心通脉方；临床研究 Clinical study of supplementing Qi and nourishing yin in treatment of angina pectoris of coronary heart disease Speciality:Internal Medicine of Traditional Chinese Medicine Author:Zhangdingding Tutor:Meng Zhaoyang Abstract Objective: This research through clinical observation the Prescription named Nourishing heart and Freeing vascular in Treatment of coronary heart disease in deficiency of both Qi and yin and study on its mechanism, thus proving the method of invigorating Qi and nourishing yin plays an important position in the treatment of angina pectoris of coronary heart disease. Methods: In this clinical study, 60 coronary heart disease patients with angina who belong to deficiency of both Qi and yin of randomly divided into two groups. 30 patients in treatment group, in addition to the conventional Western medicine treatment who have to take the Prescription named Nourishing heart and Freeing vascular everyday in the treatment. 30 cases in Control group, only treated by conventional Western medicine. 4 weeks later, observe the two groups in clinical symptoms 、the change of ECG 、the indicators of laboratory examination and statistical analysis. Results:In the treatment of coronary heart disease the Prescription named Nourishing heart