作　　者： (许颖智）; (张军平）; (任淑女）; (荣杰）; (杨锡燕）;

机构地区： 天津中医药大学第一附属医院

出　　处： 《中华中医药杂志》 2017年第8期3809-3811,共3页

摘　　要： 目的:观察不同中医药干预模式治疗冠心病心绞痛的临床疗效。方法:将164例冠心病心绞痛气虚血瘀证和气滞血瘀证患者随机分为辨证论治组(82例)和辨病通治组(82例),在西医常规治疗基础上,辨证论治组采用病证结合、方证对应理论指导下的辨证论治干预模式,气虚血瘀证予芪参益气滴丸、气滞血瘀证予复方丹参滴丸;辨病通治组采用辨病论治干预模式,均予活血保心丸,疗程4周。分别从病、证、症层面进行疗效评价。结果:在硝酸甘油停减率方面两组效果相当。在中医证候积分方面辨证论治组优于辨病通治组(P<0.05)。结论:辨证论治干预模式治疗冠心病心绞痛可发挥更好地疗效。 Objective: To evaluate the clinical effectiveness of coronary heart disease by the mode of traditional Chinese medicine intervention. Methods: A total of 164 cases of coronary heart disease angina patients with qi deficiency and blood stasis syndrome, and qi and blood stasis syndrome were randomly divided into experimental group and control group, 82 cases in each one. On the basis of conventional western medicine treatment, patients with syndrome differentiation were given diferrent treatment, qi deficiency blood stasis to Qishenyiqi dropping pill, qi and blood stasis in compound Danshen dropping pill; Control group adopts the model of disease diagnosis and intervention, to invigorate the circulation of heart pill, course of 4 weeks. The effects were evaluated from levels of disease, syndrome and symptons. Results: The effects of nifroglycerin stopped reduction rate in two groups had no significant difference. While the TCM score in the experimental group was superior to that in the control group(P<0.05). Conclusion: Intervention mode of treatment based on syndrome differentiation treatment of coronary heart disease angina pectoris can play a better curative effect.

关 键 词： 冠心病心绞痛 中医药干预模式 综合疗效评价