摘要
目的:观察心痛舒汤对冠心病痰湿体质病人预后的影响。方法:选取2017年2月—2018年2月在我院心血管内科病房住院和出院后在我院治未病科门诊就诊的200位中医辨证为痰湿体质的冠心病患者,采用随机数字表法分为对照组和观察组各100例。对照组使用西药常规治疗,观察组在对照组基础上加用心痛舒汤治疗,比较两组患者的临床疗效。结果:干预前:两组患者中医症候积分、心绞痛发作频率、持续时间数据比较差异无统计学意义(P>0.05);干预半年后:观察组的中医症候积分、心绞痛发作频率、持续时间与治疗前比较,与对照组同期数据比较显著降低(P<0.05);干预1年后:观察组的中医症候积分、心绞痛发作频率、持续时间与对照组比较差异存在统计学意义(P<0.05);观察组患者的总有效率为95.0%,高于对照组的89.0%(P<0.05);观察组的不良反应发生率为2.0%,显著低于对照组的6.0%(P<0.05);观察组的心绞痛复发率、再住院率、联合心血管事件发生率均显著低于对照组(P<0.05)。结论:心痛舒汤对改善冠心病痰湿体质患者的预后有较好的效果,安全有效。
Objective:To observe the clinical study of Xintongshu Decoction on the prognosis of patients with phlegm-dampness constitution of coronary heart disease.Methods:200 cases of coronary heart disease with phlegm-dampness constitution from January 2018 to December 2018 were randomly divided into control group and observation group 100 cases in each group.The control group was treated with routine western medicine and the observation group treated with Xintongshu Decoction on the basis of the control group.To observe the effect of two groups.Results:Before the intervention:there were no statistically significant differences in TCM syndrome scores,angina attack frequency and duration between the two groups(P>0.05).Half year after intervention:the TCM symptom score,angina attack frequency and duration in the observation group were significantly lower than those in the control group(P<0.05).One year after intervention:there were statistically significant differences in TCM symptom scores,angina attack frequency and duration between the observation group and the control group(P<0.05).The total effective rate was 95.0%in the observation group and 89.0%in the control group(P<0.05).The incidence of adverse reactions was 2.0%,significantly lower than that of the control group(P<0.05).The rate of angina pectoris recurrence,re-hospitalization and incidence of combined cardiovasculaf events was significantly lower than that of the control group(P<0.05).Conclusion:Xintongshu Decoction has certain effect on the prognosis of phlegm-dampness constitution of coronary heart disease.
作者
张道香
邹培源
黄瑞聪
李美红
冯小燕
ZHANG Dao-xiang;ZOU Pei-yuan;HUANG Rui-cong;LI Mei-hong;FENG Xiao-yan(Yangjiang Hospital of Traditional Chinese Medicine,Yangjaing 529500,China)
出处
《江西中医药大学学报》
2019年第5期25-27,共3页
Journal of Jiangxi University of Chinese Medicine
基金
阳江市医疗卫生科技计划项目(社发【2018】53)
关键词
心痛舒汤
冠心病
痰湿体质
预后
Xintongshu Decoction
Coronary Heart Disease
Phlegm-dampness Constitution
Prognosis
