桃红四物汤加味治疗心血瘀阻型稳定型心绞痛临床研究

发布时间：2018-02-14 00:44

  本文关键词： 稳定型心绞痛 桃红四物汤加味 临床研究　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察桃红四物汤加味对心血瘀阻型稳定型心绞痛的临床疗效及安全性并做出客观评价,以便将来临床上更准确、安全、有效的使用桃红四物汤。方法:筛选2014年6月至2015年12月在山东省中医院心内科门诊和病房住院治疗的符合心血瘀阻型稳定型心绞痛患者68例,将其随机分成对照组及试验组,每组各34例。两组皆予行为干预,对照组予常规西药基础治疗,试验组则在对照组基础上加用桃红四物汤加味。疗程皆为4周,观察并记录治疗前后彼此的临床疗效、心电图的变化以及相关方面的实验室指标。结果:桃红四物汤加味在治疗稳定型心绞痛的过程中,对于患者心绞痛严重程度的改善,心电图ST-T的改善,硝酸甘油停减率等方面,治疗组皆优于对照组;在中医症状方面,如胸痛、胸闷、心悸不宁、舌质、舌苔、脉象等症状的缓解程度,治疗组疗效明显优于对照组。结论:桃红四物汤加味对治疗心血瘀阻型稳定型心绞痛的患者的临床症状有较好疗效,且非常安全。
[Abstract]:Objective: to observe the clinical efficacy and safety of modified Taohong Siwu decoction on stable angina pectoris of heart blood stasis type and to make objective evaluation so as to be more accurate and safe in clinic in the future. Effective use of Taohong Siwu decoction. Methods: 68 patients with stable angina pectoris of heart blood stasis type were selected from June 2014 to December 2015 in Department of Cardiology, Shandong Provincial Hospital of traditional Chinese Medicine, and were randomly divided into control group and experimental group. There were 34 cases in each group. The two groups were treated with behavioral intervention, the control group was treated with routine western medicine, and the experimental group was treated with Taohong Siwu decoction on the basis of the control group. The course of treatment was 4 weeks. The clinical effects of each other before and after treatment were observed and recorded. Results: in the treatment of stable angina pectoris, the severity of angina pectoris, the improvement of electrocardiogram (ST-T), the reduction rate of nitroglycerin, etc. The treatment group is superior to the control group in terms of symptoms of traditional Chinese medicine, such as chest pain, chest tightness, restlessness of palpitations, tongue quality, tongue coating, pulse, etc. Conclusion: the modified Taohong Siwu decoction has a better effect on the clinical symptoms of patients with stable angina pectoris of heart blood stasis type and is very safe.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R541.4

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