中西医结合治疗闭塞性动脉硬化症43例临床观察

发布时间：2018-03-02 06:26

本文关键词： 闭塞性动脉硬化中西医结合疗法活血温脉汤脂类血液流变学　出处：《新中医》2008年02期 　论文类型：期刊论文

【摘要】：目的:观察中西医结合疗法治疗闭塞性动脉硬化症的临床疗效。方法:将80例患者随机分为2组,治疗组43例,对照组37例。2组均给予前列腺素E_1、洛伐他汀、肠溶阿司匹林治疗,治疗组另加用活血温脉汤(处方:黄芪、泽泻、丹参、山楂、地龙、川芎、赤芍、炮姜、何首乌、当归、肉桂、附子、甘草、麻黄)治疗。观察2组患者临床症状、血脂、血液流变学、彩色多普勒等指标变化。结果:总有效率治疗组为86.0%,对照组为51.4%,2组比较,差异有非常显著性意义(P0.01)..2组治疗后临床症状计分(除对照组静息痛外)均显著下降,治疗前比较,差异均有非常显著性意义(P0.01);2组治疗后比较,差异均有非常显著性意义(P0.01)。2组治疗后血脂各项(除对照组HDL-C外)均有显著改善,治疗前后比较,差异有显著性或非常显著性意义(P0.05,P0.01);2组治疗后(除HDL-C外)比较,差异均有显著性意义(P0.05)。治疗组治疗后血液流变学各项指标均有显著改善,与治疗前比较,差异有非常显著性意义(P0.01);对照组血细胞比容、全血还原比黏度治疗后均有显著改善,与治疗前比较,差异有非常显著性意义(P0.01);2组各项指标治疗后比较,差异均有显著性意义(P0.05)。2组治疗后彩色多普勒各项指标均有显著改善,与治疗后比较,差异有非常显著性意义(P0.01);2组彩色多普勒各项指标(除足背动脉内径外)治疗后比较,差异有显著性或非常显著性意义(P0.05,P0.01)。结论:中西医结合疗法治疗闭塞性动脉硬化症疗效优于单纯西医治疗。
[Abstract]:Objective: to observe the clinical effect of integrated traditional Chinese and western medicine in the treatment of arteriosclerosis obliterans. Methods: 80 patients were randomly divided into two groups: treatment group (n = 43) and control group (n = 37). The treatment group was treated with Astragalus membranaceus, Radix Alismatis, Radix Salviae Miltiorrhizae, Hawthorn, Dilong, Ligusticum Chuanxiong, Radix Paeoniae Alba, Ginger, Polygonum multiflorum, Radix angelicae Sinensis, Cinnamon, Aconitum, Radix Glycyrrhizae, The changes of clinical symptoms, blood lipid, hemorheology and color Doppler were observed in two groups. Results: the total effective rate was 86.0 in the treatment group and 51.4 in the control group. The scores of clinical symptoms (except the rest pain in the control group) were significantly decreased in the two groups after treatment, and there were significant differences before and after treatment in the two groups, and there was a significant difference between the two groups before and after treatment, and there was a significant difference between the two groups before and after treatment, and there was a significant difference between the two groups before and after treatment. There were significant differences in blood lipids (except HDL-C in the control group) after treatment. There were significant or very significant differences before and after treatment in the two groups (except HDL-C). The hemorheology indexes of the treatment group were significantly improved after treatment, and the difference was very significant compared with that before treatment, and that of the control group was significantly improved after the treatment of blood cell volume, whole blood reduction and viscosity. Compared with before treatment, there was a significant difference between the two groups after treatment, and the difference was significant after treatment. All the indexes of color Doppler were significantly improved after treatment in P0.05T.2 group, and compared with those after treatment, there was no significant difference between the two groups, and there was no significant difference between the two groups after treatment, and there was a significant difference between the two groups after treatment. There was a significant difference between the two groups (except for the internal diameter of dorsal foot artery) after treatment. The difference was significant or very significant. Conclusion: the therapeutic effect of integrated traditional Chinese and western medicine on arteriosclerosis obliterans is better than that of western medicine alone.
【作者单位】：聊城市人民医院
【分类号】：R543.5

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