温阳祛瘀法对不稳定型心绞痛（阳虚血瘀型）同型半胱氨酸影响

发布时间：2018-12-29 19:34

【摘要】：目的:观察运用温阳祛瘀法联合西药治疗冠心病不稳定型心绞痛(阳虚血瘀型)的临床疗效。方法:入组患者选自黑龙江中医药大学附属第一医院心内四科病房住院患者,其中符合纳入标准患者60例,随机分为对照组和治疗组,每组各30例。治疗组给予西医常规治疗加服中药汤剂,对照组给予西医常规治疗。以14天为一疗程,观察记录患者治疗前后证候积分,心电图疗效分析,血清同型半胱氨酸,将所采集数据运用SPSS19.0软件进行处理得出结论。结果:1.证候积分:治疗前两组证候积分无差异(p0.05),治疗后两组证候积分组内对比均有改善(p0.05),且治疗组优于对照组(p0.05)有统计学意义。2.心电图疗效分析:治疗前两组心电图疗效分析比较无差异(p0.05),治疗后治疗组心电图缺血改善情况优于对照组(p0.05)有统计学意义。3.血清同型半胱氨酸:治疗前两组无差异(p0.05),治疗后将组内进行比较两组治疗后数值均优于治疗前,治疗后组间数据治疗组明显优于对照组并且经统计学分析显示(p0.05)有统计学意义。结论:1.温阳祛瘀法联合西医常规治疗可改善冠心病不稳定型心绞痛(阳虚血瘀型)的临床症状。2.温阳祛瘀法联合西医常规治疗可改善冠心病不稳定型心绞痛(阳虚血瘀型)患者的缺血性心电图。3.温阳祛瘀法联合西医常规治疗可降低冠心病不稳定型心绞痛(阳虚血瘀型)血清同型半胱氨酸水平。
[Abstract]:Objective: to observe the clinical effect of warming yang and removing blood stasis combined with western medicine on unstable angina pectoris of coronary heart disease. Methods: the inpatients were selected from the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. Among them 60 patients were randomly divided into control group and treatment group with 30 cases in each group. The treatment group was treated with routine western medicine plus traditional Chinese medicine decoction, while the control group was given routine western medicine treatment. Taking 14 days as a course of treatment, we observed and recorded the syndromes integral, electrocardiogram curative effect analysis and serum homocysteine before and after treatment. The collected data were processed with SPSS19.0 software to get the conclusion. Results: 1. Syndrome score: there was no difference between the two groups before treatment (p0.05). After treatment, the comparison between the two groups was improved (p0.05), and the treatment group was better than the control group (p0.05). 2. Electrocardiogram effect analysis: there was no difference between the two groups before treatment (p0.05). The improvement of ECG ischemia in the treatment group was better than that in the control group (p0.05). There was significant difference between the treatment group and the control group (p0.05). Serum homocysteine: there was no difference between the two groups before treatment (p0.05). After treatment, the data treatment group was significantly better than the control group and the statistical analysis showed that there was statistical significance (p 0.05). Conclusion: 1. Warming yang and removing blood stasis combined with routine western medicine treatment can improve the clinical symptoms of coronary heart disease unstable angina pectoris (yang deficiency and blood stasis type). 2. Warming Yang and removing blood stasis combined with routine western medicine treatment can improve the coronary heart disease unstable angina pectoris (Yang deficiency and blood stasis type) patients with ischemic electrocardiogram. 3. Warming yang and removing blood stasis combined with routine western medicine treatment can reduce the serum homocysteine level of unstable angina pectoris of coronary heart disease (Yang deficiency and blood stasis type).
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R541.4

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