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四逆汤合真武汤化裁辅治冠心病心绞痛临床研究

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目的:观察四逆汤合真武汤化裁辅治冠心病心绞痛的疗效.方法:220例按照随机数字表法分为两组各110例,两组均用西药治疗,研究组加用四逆汤合真武汤化裁治疗.结果:研究组总有效率及左心室射血分数(LVEF)高于对照组(P<0.05),中医证候积分、NYHA心功能分级、左心室收缩期末内径与舒张期末内径、内皮素(ET)、同型半胱氨酸(Hcy)水平低于对照组(P<0.05),临床症状改善好于对照组(P<0.05).结论:四逆汤合真武汤化裁辅治冠心病心绞痛能提高疗效,且安全.
Objective:To observe the curative effect of modified versions of Sini Decoction and Zhenwu Decoction in adjuvant treatment of angina pectoris of coronary heart disease.Methods:A total of 220 cases were divided into two groups according to the random number table method,with 110 cases in each group.Both groups were treated with western medicine,and the study group were treated with modified versions of Sini Decoction and Zhenwu Decoction.Results:The total effective rate and left ventricular ejection fraction(LVEF)in the study group were higher than those in the control group(P<0.05).The scores of TCM syndromes,NYHA cardiac function classification,left ventricular end-systolic diameter and end-diastolic diameter,endothelin(ET)and homocysteine(Hcy)were lower than those in the control group(P<0.05).The improvement of clinical symptoms was better than that of the control group(P<0.05).Conclusion:Modified versions of Sini Decoction and Zhenwu Decoction could improve the curative effect in adjuvant treatment of angina pectoris of coronary heart disease,with safety.

Angina pectoris of coronary heart diseaseSini DecoctionZhenwu Decoction

张建辉

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河南(郑州)现代医学研究院中医院老年病科,河南 郑州 450006

冠心病心绞痛 四逆汤 真武汤

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(11)