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疏肝解郁法治疗中青年冠心病心绞痛临床观察(1)
http://www.100md.com 2012年4月1日 边振 昌艳艳 吕晓莉 邱丽君
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    参见附件。

     摘 要:目的:观察加味柴胡疏肝散治疗中青年冠心病心绞痛的治疗效果。方法:将81例冠心病心绞痛患者随机分为治疗组(42例)和对照组(39例)。治疗组给予加味柴胡疏肝散、对照组给予抗血小板及硝酸酯类药物治疗,疗程均为30d。结果:加味柴胡疏肝散治疗冠心病心绞痛总有效率为90.5%,显著高于对照组的69.2%(P<0.05);且该方对胸痛、胸闷、心悸、情绪急躁等症状、心电图改善明显,对血脂的调节作用明显,与对照组比较均有显著意义(P<0.05)。结论:加味柴胡疏肝散治疗中青年冠心病心绞痛临床疗效确切,可明显改善心电图及临床症状,调节血脂。

    关键词:疏肝解郁;中青年;冠心病心绞痛

    中图分类号:R541.4

    文献标识码:B

    文章编号:1673-7717(2012)04-0828-02

    Clinical Effect Observation of Treating Young and Middle-aged Patients with

    Angina by Dispersing Stagnated Liver Qi for Relieving Qi Stagnation

    BIAN Zhen1,CHANG Yan-yan1,LV Xiao-li1,QIU Li-jun2

    (1.The First Clinical College,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;

    2.Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China;

    3. Anshan Central Hospital,Anshan 114001,Liaoning,China)

    Abstract:Objective:We observe the curative effect of treating young and middle-aged patients with angina by taking Jiawei Shugan powder. Methods:We randomly divided 81 angina patients into two groups including treatment groups(42) and control groups(39),and gave treatment group Jiawei Shugan powder,control groups antiplatelet and nitrate esters medications with 30 days as a treatment course. Result:The total effective rates of Jiawei Shugan powder treating angina was 90.5%,which was notably higher than 69.2% of control groups(P<0.05),and the prescription had obvious improvements in chest pain,choking sensation in chest,palpitation,irritable emotion,electrocardiogram,regulating blood fat. It had marked meaning comparing with control groups(P<0.05).Conclusion:Clinical curative effect of treating young and middle-aged patients with angina by taking Jiawei Shugan powder is exact,which can improve electrocardiogram and clinical symptoms,and regulate blood fat.

    Key words:method of dispersing stagnated liver Qi for relieving qi stagnation;young and middle-aged;angina

    冠心病是危害人类健康的主要疾病之一,我国中青年冠心病和猝死的明显上升(“陡升”)趋势,冠心病的发病率不断增高,已成为危害我国中青年人健康的高危病症之一。研究表明,近年来我国心血管疾病造成的“早死”,已占全国潜在寿命损失的63%[1]。冠心病的发病率和死亡率呈陡坡上升和年轻化发展趋势[2]。笔者应用加味柴胡疏肝散治疗中青年冠心病,收到良好疗效,现报道如下。

    1临床资料

    1.1病例选择

    按照国家药品监督管理局2002年制定发布的《中药新药临床研究指导原则》中关于胸痹(冠心病心绞痛)中医诊断标准,入选病例均符合“胸痹心痛”的中医诊断及“冠心病心绞痛”的西医诊断 ......

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