加味四物颗粒联合颈椎牵引治疗血虚型颈心综合征的临床疗效观察

发布时间：2017-12-28 12:34

本文关键词：加味四物颗粒联合颈椎牵引治疗血虚型颈心综合征的临床疗效观察　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：用牵引疗法治疗颈心综合征,在此基础上,加用口服顾国龙教授所创制的加味四物颗粒,通过观察用药前后的治疗效果,开展对颈心综合征治疗的研究。方法：选择血虚型的颈心综合征患者共80例,随机分为2组,治疗组(40例)采用加味四物颗粒口服联合颈椎牵引综合治疗；对照组(40例)单纯采用颈椎牵引,两组治疗以10d为1个疗程,共治疗3个疗程,疗程结束后再观察患者症状的缓解情况。结果：1、治疗10d后、治疗20d后及治疗30d后两组主症(胸闷、胸痛、气短、颈项疼痛)中医证候总评分与治疗前比较,差异均有统计学意义(p0.05)且两组总评分、中医证候总评分随治疗时间的延长均呈下降趋势。2、治疗后两组间主症单项消失率、中医证候总评分、临床疗效比较,差异均有统计学意义(p0.05)。3、治疗后两组间心电图复常率比较,差异无统计学意义(p＞0.05)。结论：1、两者联合治疗对颈心综合征患者胸闷、胸痛、气短和颈项疼痛整体改善作用优于单独牵引疗法。2、在改善患者心电图结果方面,单一使用本研究所涉及的口服加味四物颗粒与颈椎牵引两种疗法对颈心综合征的临床效果均弱于二者联合使用之疗效。
[Abstract]:Objective: to treat cervical cardiac syndrome by traction therapy. Based on this, we add oral flavored Siwu granule created by Professor Gu Guolong, and observe the therapeutic effect before and after the treatment, and carry out the research on the treatment of cervical heart syndrome. Methods: blood deficiency type of carotid cardiac syndrome in patients with a total of 80 cases were randomly divided into 2 groups, treatment group (40 cases) treated with Jiawei Siwu granules orally combined with cervical traction therapy; the control group (40 cases) treated with cervical traction, two groups of treatment with 10d for 1 courses, a total of 3 courses of treatment after the end of treatment, and then observe the remission of symptoms. Results: 1 20d treatment, 10d after treatment, after treatment and 30d after two groups of main symptoms (chest tightness, chest pain, shortness of breath, neck pain) compared total score and the treatment of TCM syndrome, there were statistically significant differences (P0.05) and the two group total score, TCM syndrome total score with treatment time were prolonged a downward trend. 2. After treatment, there were significant differences in the disappearance rate of the single item, the total score of TCM syndrome and the clinical curative effect between the two groups (P0.05). 3. There was no significant difference in electrocardiogram rate between the two groups after treatment (P > 0.05). Conclusion: 1. The combined treatment for chest pain, chest pain, shortness of breath and neck pain in patients with CCP is better than that of single traction therapy. 2, in improving the electrocardiogram results of patients, the clinical effects of single use of the four flavored particles and cervical traction two times in the treatment of cervical cardiac syndrome are all weaker than those of two groups.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259;R274.9

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