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Efficacy of Xuefu Zhuyu Capsule combined with conventional Western medicine treatment for angina pectoris in coronary heart disease
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DOI   10.11656/j.issn.1672-1519.2023.04.01
Key Words   Xuefu Zhuyu Capsule;coronary heart disease and angina pectoris;blood pressure;carotid intima-media thickness
Author NameAffiliationE-mail
TIAN Lin Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
LIU Yijia Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
WANG Shuo Tianjin Medical University, Tianjin 300070, China
Tianjin Chest Hospital, Tianjin 300222, China 
 
ZHAO Jia Tianjin Chest Hospital, Tianjin 300222, China  
LI Lin Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
LI Chunjie Tianjin Chest Hospital, Tianjin 300222, China Lichunjie0227@126.com 
YU Chunquan Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China ycq-4@163.com 
Abstract
    [Objective] To investigate the effects of Xuefu Zhuyu Capsule on blood glucose, blood pressure and carotid intima-media thickness (CIMT) in patients with coronary heart disease and angina pectoris, and the relationship between blood pressure and CIMT. [Methods] The 474 patients with coronary heart disease and angina pectoris were selected and divided into treatment group and control group according to whether they took Xuefu Zhuyu Capsule. The difference of baseline data was adjusted through propensity score matching to study the difference of blood glucose, blood lipid, blood pressure and CIMT between the two groups. The association between blood pressure and CIMT was analyzed, and multiple linear regression analysis was performed with CIMT as the dependent variable, blood pressure classification as the independent variable, and sex, age, smoking, alcohol consumption, triglycerides(TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), glycated hemoglobin (HbA1c), fasting plasma glucose (FPG) as covariates. [Results] There were significant differences in TG, TC, LDL-C, HbA1c, FPG, blood pressure and CIMT between the treatment group and control group (P<0.05). Compared with patients with normal blood pressure, hypertension was positively associated with CIMT(P<0.05). At the same time, there was a significant difference between hypertension grade 2 and CIMT (P<0.05). [Conclusion] Xuefu Zhuyu Capsule combined with conventional treatment of Western medicine can effectively reduce TG, TC, LDL-C, HbA1c, FPG, blood pressure and reduce CIMT in patients with angina pectoris of coronary heart disease, and hypertension is significantly associated with CIMT.

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