加味桃红四物汤对气虚血瘀型不稳定型心绞痛全血粘度的影响

发布时间：2017-12-31 20:08

  本文关键词：加味桃红四物汤对气虚血瘀型不稳定型心绞痛全血粘度的影响　出处：《黑龙江中医药大学》2016年硕士论文　论文类型：学位论文

  更多相关文章： 冠心病心绞痛 气虚血瘀 加味桃红四物汤 全血粘度

【摘要】：目的：通过加味桃红四物汤治疗冠心病不稳定型心绞痛(气虚血瘀证)观察患者心绞痛的症状、硝酸甘油停减率、中医症候和全血粘度的变化,明确加味桃红四物汤的临床疗效。方法：所有病例均来自黑龙江中医药大学附属第一医院选取2014年12月-2015年12月住院患者60例,分为治疗组和对照组,对照组给予常规西医治疗,治疗组在西医常规治疗的基础上加上加味桃红四物汤。以3周为1个疗程,进行疗效评定。观察和分析两组治疗前后心绞痛症状、硝酸甘油减停率、中医证候疗效及全血低、高切粘度等变化情况。结果：①心绞痛改善状况比较：对照组总有效率为83.33%；治疗组总有效率为96.67%,两者比较,差异有统计学意义(P0.05)。②中医症候疗效总有效率比较：对照组总有效率80.0 0%；治疗组总有效率86.67%；两者比较,差异有统计学意义(P0.05)。③硝酸甘油停减率比较方面：对照组停减率为70.00%；治疗组停减率为86.67%,经统计学检验p0.0 5,差异有统计学意义。④全血粘度比较方面：治疗组与对照组在治疗后全血高切粘度p0.05,无统计学意义；全血低切粘度P0.05,差异有统计学意义。结论：1.加味桃红四物汤能改善冠心病不稳定性心绞痛气虚血瘀证患者的临床症状、提高中医症候总疗效及降低硝酸甘油停减率。2.加味桃红四物汤可以降低不稳定性心绞痛气虚血瘀证患者的全血低切粘度水平3.加味桃红四物汤对全血高切粘度方面未见明显优势。
[Abstract]:Objective: to observe the changes of symptoms of angina pectoris, stopping and decreasing rate of nitroglycerin, TCM symptoms and whole blood viscosity of patients with unstable angina pectoris (Qi deficiency and blood stasis syndrome) treated with modified Taohong Siwu decoction. Methods: all cases were selected from the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine from December 2014 to December 2015. Divided into the treatment group and the control group, the control group was given routine western medicine treatment, the treatment group on the basis of routine Western medicine treatment plus modified Taohong Siwu decoction. 3 weeks as a course of treatment. To evaluate the efficacy. Observe and analyze the symptoms of angina pectoris before and after treatment nitroglycerin stop rate TCM syndromes efficacy and blood low. Results the improvement of angina pectoris in the control group was 83.33, and that in the control group was 83.33. The total effective rate of the treatment group was 96.677.The difference between the two groups was statistically significant. The total effective rate of traditional Chinese medicine syndrome was compared: the total effective rate of the control group was 80.0; The total effective rate of the treatment group was 86.67; The difference was statistically significant (P 0.05.3) in the comparison of the stopping and decreasing rate of nitroglycerin: in the control group, the stopping rate was 70.005%; The reduction rate of the treatment group was 86.67. The difference was statistically significant (p0.05). The whole blood viscosity of the treatment group and the control group was higher than that of the control group (p0.05). No statistical significance; Conclusion the modified Taohong Siwu decoction can improve the clinical symptoms of patients with Qi-deficiency and blood-stasis syndrome of coronary heart disease with unstable angina pectoris. Improve the general curative effect of TCM symptoms and reduce the stopping and decreasing rate of nitroglycerin .2.Jiawei Taohong Siwu decoction can reduce the whole blood low shear viscosity level of patients with Qi-deficiency and blood stasis syndrome of unstable angina pectoris 3.Jiawei Taohong Siwu decoction can reduce the whole blood high shear rate. There is no obvious advantage in viscosity.
【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】：2016
【分类号】：R259

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