调肾保心法治疗冠心病心绞痛60例临床疗效观察

Clinical curative effect observation of adjusting Shen and protecting heart method on 60 cases with coronary heart disease

关键词:  心绞痛  调肾保心法  中医药

Key words:  coronary heart disease  adjusting Shen and protecting heart method  traditional Chinese medicine

摘要:

[目的] 观察调肾保心法治疗冠心病心绞痛临床疗效。[方法] 将120 例冠心病心绞痛患者随机分为观察组60 例和对照组60 例,两组均给予常规西药治疗,观察组在西药治疗基础上加用调肾保心法汤药(孙兰军经验方),两组疗程均为4 周,评价两组治疗前后心绞痛分级及发作次数、心电图变化、硝酸甘油用量及停减率、中医证候改善情况。[结果] 心电图改善情况:观察组总有效率为81.67%,优于对照组53.33%(P<0.05);心绞痛疗效:观察组治疗后发作次数及硝酸甘油停减均优于对照组(P<0.05);心绞痛分级变化观察组较对照组有优势;中医证候疗效观察组总有效率为91.7%,优于对照组78.3%(孕约园援园缘)。[结论] 调肾保心法对冠心病心绞痛临床疗效显著,值得推广应用。

Abstract:

[Objective] To observe the therapeutic efficiency of “adjusting Shen and protecting heart” for treating coronary heart disease(CHD). [Methods] The 120 patients was divided into two groups randomly, observation group involved 60 cases and the same to control group. Both two groups were treated by conventional Western medicine and the observation group was treated by traditional Chinese medicine (TCM) about “adjusting Shen and protecting heart” of SUN Lan-jun too. The treatment course was four weeks. After four weeks evaluated the attack frequency of CHD and the classification, the electrocardiogram changes, the dosage of nitroglycerin and the rate of stop or reduction. TCM syndrome improved conditions. [Results] The curative effect for electrocardiogram, observation group total effective rate was 81.67%, and was better than that of control group( 53.33%, P<0.05). The curative effect for CHD: the number of attack and the reduction of CHD for observation group was better than that of control group(P<0.05). The grade changes in observation group was better than that of contrast group. For the curative effect of TCM, observation group was 91.7%, and it was better than control group(78.3%). [Conclusion] “Adjusting Shen and protecting heart” is a good method on CHD and is worthy of popularization and application.