1. 长春中医药大学
2. 长春中医药大学附属医院心内科
纸质出版:2010
移动端阅览
[1]崔英子,郭家娟,黄永生.从先天伏寒论治冠心病心绞痛126例临床观察[J].中医杂志,2010,51(06):516-519.
CUI Yingzi1, GUO Jiajuan2, HUANG Yongsheng2. Treatment Based on the Theory of Congenital Latent Cold for Angina Pectoris of the Coronary Heart Disease—A report of 126 cases[J]. Journal of Traditional Chinese Medicine2010, 51(6): 516-519.
[1]崔英子,郭家娟,黄永生.从先天伏寒论治冠心病心绞痛126例临床观察[J].中医杂志,2010,51(06):516-519. DOI: 10.13288/j.11-2166/r.2010.06.010.
CUI Yingzi1, GUO Jiajuan2, HUANG Yongsheng2. Treatment Based on the Theory of Congenital Latent Cold for Angina Pectoris of the Coronary Heart Disease—A report of 126 cases[J]. Journal of Traditional Chinese Medicine2010, 51(6): 516-519. DOI: 10.13288/j.11-2166/r.2010.06.010.
目的观察伏寒方加血府逐瘀汤治疗冠心病心绞痛先天伏寒证兼有心血瘀阻证的临床疗效。方法 248例冠心病心绞痛辨证属伏寒证的患者随机分为治疗组126例与对照组122例
对照组口服血府逐瘀汤
治疗组口服伏寒方加血府逐瘀汤合方
两组均治疗28天为1个疗程
1个疗程后比较两组患者硝酸甘油减停率
心绞痛、心电图及伏寒证、心血瘀阻证各临床症状疗效。结果治疗组硝酸甘油停减率为15.87%
对照组为10.66%
两组比较差异无统计学意义(P>0.05)。治疗组心绞痛总有效率为82.54%
对照组为76.23%
两组疗效比较差异有统计学意义(P<0.05);治疗组心电图总有效率为46.03%
对照组为40.98%
两组比较差异无统计学意义(P>0.05)。伏寒症状中
治疗组足凉或手足凉、口干、心烦、疲乏、畏寒、恶冷喜热食、胃痛或胀、腰膝酸软等症状疗效均优于对照组(P<0.01或P<0.05)。心血瘀阻症状中
治疗组胸痛、胸闷、入夜加重、心悸等症状疗效优于对照组(P<0.05)。结论针对"先天伏寒"病因并结合活血化瘀法治疗冠心病心绞痛先天伏寒证兼有心血瘀阻证患者较单纯应用活血化瘀法治疗能够取得更好的临床疗效。
Objective To observe the effect of Fuhan Recipe (Recipe for latent cold syndrome) plus Xuefu Zhuyu Decoction (Decoction for removing blood stasis in chest) on the coronary heart disease in congenital latent cold syndrome complicated with the symptom of heart blood stasis.Methods Totally 248 cases of coronary heart disease with angina pectoris in latent cold syndrome were randomized into a treatment group (n=126) and control group (n=122).The control group was prescribed Xuefu Zhuyu Decoction and the treatment group was administered Fuhan Recipe plus Xuefu Zhuyu Decoction
28 days as one course.After one course of treatment
the stopping and decreasing of nitroglycerin
angina pectoris
ECG
and changes of clinical symptoms of two groups were compared.Results The rate of stopping and decreasing of nitroglycerin was 15.87% in the treatment group and 10.66% in the control group
without significant difference (P>0.05).The total effective rate of angina pectoris in the treatment group was 82.54% and 76.23% in the control group
the difference was significant (P<0.05).The total effective rate of ECG in the treatment group was 46.03% and 40.98% in the control group
without significant difference (P>0.05).Of the latent cold symptoms
in the treatment group
the effect on cold extremities
dry mouth
irritability
fatigue
aversion to cold
preferring hot food to cold food
gastric pain or distention
soreness and weakness in lumbus was better than in the control group (P<0.01 or P<0.05).Of the heart blood stasis symptoms
the effect on chest pain
chest fullness
being worse at night
and palpitation in the treatment group was better than in the control group (P<0.05).Conclusion The treatment of Fuhan Recipe plus Xuefu Zhuyu Decoction is better in effect for the coronary heart disease in congenital latent cold syndrome complicated with the symptom of heart blood stasis than that of only Xuefu Zhuyu Decoction.
0
浏览量
366
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010102007558号