中西医结合治疗变异型心绞痛临床观察.docVIP

中西医结合治疗变异型心绞痛临床观察（大连市中医医院心内科，辽宁 大连 116013） 摘 要：目的：观察中西医结合治疗变异型心绞痛的临床疗效。方法：将变异型心绞痛患者67例随机分为治疗组34例和对照组33例，两组均予常规西药治疗，治疗组同时加服中药汤剂, 1个月后观察两组患者心绞痛疗效；生化指标（hs-CRP、LDL-C）和内皮素（ET）的变化及治疗后6个月两组患者相关心脏事件的发生率等。结果：治疗组心绞痛疗效优于对照组；在改善生化指标（hs-CRP、LDL-C）和内皮素（ET）方面，治疗组亦显示了良好效果；另外，降低了相关心脏事件的发生率。结论：中西医结合治疗变异型心绞痛较单纯西药治疗具有更好的疗效。 关键词：变异型心绞痛；中西医结合疗法 中图分类号：R259.414文献标识码：B文章编号：1673-7717（2011）03-0671-02 Clinical Observation on Variant Angia Pectoris by the Method of Traditional Chinese Medicine Combined with Western Medicine LIN Nan, YIN Xiao-xing （Department of Heart Medine,Dalian Hospital of TCM,Dalian 116013,Liaoning,China） Abstract:Objective:To observe the curative effect of variant angia pectoris by the method of traditional Chinese medicine combined with western medicine.Methods:67cases were randomly divided into treatment group（34 cases） and control group（33 cases）. The control group was given western medicine only,the treatment group was given western medicine combined with traditional Chinese medicine.the curative effect of angia pectoris and the levels of hs-CRP、LDL-C and ET were observed after one month,and the rate of relative cardiopathic events was observed after six months.Results: The curative effect of angia pectoris and the levels of hs-CRP、LDL-C and ET in the treatment group were better than the control group,and the rate of relative cardiopathic events was relieved in the treatment group.Conclution:The method of traditional Chinese medicine combined with western medicine could treat variant angia pectoris effectively. Key words:Variant Angia Pectoris; Method of Traditional Chinese Medicine Combined with Western Medicine 收稿日期：2010-10-06 作者简介：林楠（1973-），女，辽宁大连人，副主任医师，研究方向：心血管内科。 变异型心绞痛为自发性心绞痛的一种，极易发展成心肌梗死，甚则猝死，严重威胁患者的生命。笔者在临床上应用中西医结合治疗变异型心绞痛，取得较好的疗效，现总结如下。 1 临床资料 1.1 一般资料 两组67例均来自于本院2004年10月-2008年9月的住院患者，将患者随机分为治疗组和对照组。治疗组34例中，男21例,女13例，年龄42～76岁,平均63岁。对照组33例中，男18例，女15例，年龄46～74岁,平均64岁。两组性别、年龄、病情等方面均具有可比性（P0.05）。 1.2 诊断标准 西医诊断依据