首页|定痛救心汤联合硝酸异山梨醇酯治疗冠心病心绞痛阳虚寒凝型临床观察

定痛救心汤联合硝酸异山梨醇酯治疗冠心病心绞痛阳虚寒凝型临床观察

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目的:观察定痛救心汤联合硝酸异山梨醇酯治疗冠心病心绞痛阳虚寒凝型的临床疗效.方法:98例随机分为对照组47例和观察组51例.两组均给予硝酸异山梨醇酯治疗,观察组加用定痛救心汤治疗.结果:总有效率观察组高于对照组(P<0.05).治疗后两组胸闷气短、胸痛彻背及面白腰酸积分均降低,且观察组低于对照组(P<0.05).治疗后两组TC、TG、LDL-C均降低,HDL-C指标增高(P<0.05),且观察组改善更明显(P<0.05).不良反应发生率两组比较差异无统计学意义(P>0.05).结论:定痛救心汤联合硝酸异山梨醇酯治疗冠心病心绞痛阳虚寒凝型效果较好,且安全.
Objective:To observe the clinical effect of Dingtong Jiuxin Decoction combined with isosorbide dinitrate in the treatment of angina pectoris of coronary heart disease with yang deficiency and cold coagulation type.Methods:Ninty-eight cases were randomly divided into control group(47 cases)and observation group(51 cases).Both groups were treated with isosorbide dinitrate,and the observation group were treated with Dingtong Jiuxin Decoction in addition.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the scores of chest tightness,shortness of breath,chest pain,back pain,pale face and sore waist in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).After treatment,TC,TG and LDL-C in the two groups decreased,and HDL-C increased(P<0.05).The improvement in the observation group was more obvious(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Dingtong Jiuxin Decoction combined with isosorbide dinitrate is effective and safe in the treatment of angina pectoris of coronary heart disease with yang deficiency and cold coagulation type.

Coronary heart diseaseAngina pectorisYang deficiency and cold coagulation typeDingtong Jiuxin DecoctionIsosorbide dinitrate

李五江、齐晶晶

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河南省驻马店市第一人民医院心血管内科,河南 驻马店 463000

冠心病 心绞痛 阳虚寒凝型 定痛救心汤 硝酸异山梨醇酯

2024

实用中医药杂志
重庆医科大学中医药学院

实用中医药杂志

影响因子:0.546
ISSN:1004-2814
年,卷(期):2024.40(4)
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