資源描述：
《健脾化痰祛瘀法治療冠心病穩(wěn)定型心絞痛氣虛血瘀、痰濁內阻證的臨床研究》由會員上傳分享，免費在線閱讀，更多相關內容在學術論文-天天文庫。
1、提要目的：觀察健脾化痰祛瘀法治療冠心病穩(wěn)定型心絞痛氣虛血瘀、痰濁內阻證的療效并探討其機理。方法：臨床研究選擇冠心病穩(wěn)定型勞累性心絞痛氣虛血瘀、痰濁內阻證患者60例，隨機分為試驗組和對照組各30例，試驗組給予西藥基礎治療加用健脾化痰祛瘀湯治療，對照組給予西藥基礎治療，觀察治療前后臨床療效和實驗室檢查變化。結果：經治療4周后，心絞痛療效，試驗組顯效率為33.33%、總有效率為76.67%，對照組顯效率為16.67%、總有效率為50%；中醫(yī)癥候療效，試驗組顯效率為33.33%、總有效率為90%，對照組顯效率為16.67%、
2、總有效率為60%；心電圖療效，試驗組顯效率為30%、總有效率為73.33%，對照組顯效率為16.67%、總有效率為43.33%。兩組比較有顯著性差異（P<0.05）。與對照組相比，試驗組治療后血脂、血液流變學均有較大改善（P<0.01、P<0.01）。結論：本研究結果顯示健脾化痰祛瘀湯對穩(wěn)定型心絞痛氣虛血瘀、痰濁內阻證有顯著的臨床療效，能明顯緩解心絞痛，改善心肌缺血，緩解胸痛、胸悶等主要癥狀，能調節(jié)血脂，改善血液流變學，提高臨床療效和中醫(yī)癥候療效，可推廣于臨床。治療后無明顯不良反應。關鍵詞穩(wěn)定型心絞痛；氣虛血瘀、痰濁
3、內阻證；健脾化痰祛瘀湯；臨床研究ClinicalStudyontheMethodofTonifyingtheSpleenandDissipatingPhlegmandBloodStasisinTreatingAnginaofCoronaryHeartDiseaseSpeciality:HeartDisease,TraditionalChineseInternalMedicineAuthor:LiuJianyingTutor:ProfessorZhangShiliangAbstractObjective：Toobser
4、vetheclinicalcurativeeffectoftreatingsyndromeofQi-astheniaandPhlegm-StasisofstableanginacausedbycoronaryheartdiseasethroughapplyingtheJianpihuatanquyudecoctionandToexploreitsmechanism.Methods：60patientswithstableanginaofcoronaryheartdiseasewererandomlydividedin
5、totheexperimentalgroup(30cases)andthecontrolgroup(30cases).EachgroupwastreatedwithWesternmedicineasaprimarytreatment.TheexperimentalgroupwasdosedJianpihuatanquyudecoction.Thecourseofclinicaltreatmentisfourweeks.Results:After4weekstreatment,anginapectoris,experi
6、mentalgroup,markedlyeffectiveratewas33.33%,totaleffectiveratewas76.67%;controlgroup,markedlyeffectiveratewas16.67%,totaleffectiveratewas50%.MedicineClinicalsymptomsoftheexperimentalgroupwasmarkedly33.33%,totaleffectiveratewas90%;markedlyeffectiveratewas16.67%in
7、controlgroup,thetotaleffectiveratewas60%.EKG,experimentalgroupthatwas30%,totaleffectiveratewas73.33%;markedlyeffectiveratewas16.67%incontrolgroup,thetotaleffectiveratewas43.33%.Thereweresignificantdifferences(P<0.05).Comparedwiththecontrolgroup,experimentalgrou
8、paftertreatment,Blood-fatandBloodRheologyweregreatlyimproved(P<0.01,P<0.01).Conclusions：Jianpihuatanquyudecoctionhasgoodcurativeeffectontreatinganginaofcoronaryheartdisease,
