首页|壮通饮对冠状动脉粥样硬化性心脏病不稳定型心绞痛血瘀证患者血清炎性因子的影响

壮通饮对冠状动脉粥样硬化性心脏病不稳定型心绞痛血瘀证患者血清炎性因子的影响

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目的:研究壮通饮对冠状动脉粥样硬化性心脏病(简称冠心病)不稳定型心绞痛血瘀证的疗效及对患者血清炎症因子的影响.方法:将109例冠心病不稳定型心绞痛血瘀证患者随机分为观察组(55例)和对照组(54例),观察组给予西医基础治疗+壮通饮治疗,对照组给予西医基础治疗,疗程2周,观察两组治疗前后临床疗效、血瘀证积分变化,测定炎症因子血清C反应蛋白(C-reactive Protein,CRP)及血清肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)的变化情况.结果:①壮通饮治疗冠心病不稳定型心绞痛疗效确切,可改善临床症状和血瘀证积分,与对照组比较,差异有统计学意义(P<0.01).②对照组接受西医基础治疗后CRP无明显变化,与治疗前相比,差异无统计学意义(P>0.05),TNF-α明显升高,与治疗前相比,差异有统计学意义(P<0.01);观察组经西医基础治疗+壮通饮治疗,CRP明显降低,与治疗前相比,差异有统计学意义(P<0.05),TNF-α明显升高,与治疗前相比,差异有统计学意义(P<0.01).③观察组与对照组治疗后比较:壮通饮可调节血清炎症因子表达,使患者CRP明显降低(P<0.05),TNF-α明显升高(P<0.01),两组治疗后比较,差异具有统计学意义(P<0.05).结论:壮通饮治疗冠心病不稳定型心绞痛血瘀证患者疗效确切,能改善患者临床症状和血瘀证积分,可进一步抑制炎症因子CRP表达水平,提高TNF-α表达水平,抑制炎性反应,从病理生理方面发挥治疗冠心病不稳定型心绞痛的作用,值得临床推广.
Effects of Zhuangtong Yin on serum inflammatory factors in patients with unstable angina pectoris blood stasis syndrome of coronary heart disease
Objective:To study the curative effect of Zhuangtong Yin(壮通饮)on unstable angina pectoris and its effect on serum inflammatory factors.Methods:A total of 109 patients with unstable angina pectoris blood stasis syndrome of coronary heart disease were randomly divided into the observation group(55 cases)and the control group(54 cases).The observation group was given basic Western medicine treatment plus Zhuangtong Yin treatment,and the control group was given basic Western medicine treatment for 2 weeks.The clinical efficacy,the changes of blood stasis scores,and the changes of serum C-reactive protein(CRP)and tumor necrosis factor-α(TNF-α)were observed before and after treatment.Results:①T Zhuangtong Yin was effective in the treatment of unstable angina pectoris of coronary heart disease,and it can relieve the clinical symptoms and decrease blood stasis scores,which had statistical significance compared with those in the control group(P<0.01).② After the control group received basic Western medicine treatment,CRP had no significant change,which was not statistically significant compared with that before treatment(P>0.05),and TNF-α was significantly increased,which was statistically significant compared with that before treatment(P<0.01).in the observation group,after basic Western medicine treatment plus Zhuangtong Yin treatment,CRP was significantly decreased,which was statistically significant compared with that before treatment(P<0.05),and TNF-α was significantly increased,which was statistically significant compared with that before treatment(P<0.01).③ Comparison was made between the observation group and the control group after treatment:Zhuangtong Yin could regulate the expression of serum inflammatory factors,CRP was significantly decreased(P<0.05),and TNF-α was significantly increased(P<0.01),and the comparison between the two groups after treatment had statistical significance(P<0.05).Conclusion:Zhuangtong Yin is effective in treating unstable angina pectoris blood stasis syndrome of coronary heart dis-ease.It can relieve the clinical symptoms and decrease blood stasis syndrome score of patients,further inhibit the expression level of inflammatory factor CRP,increase the expression level of TNF-α,inhibit inflammatory response,and play a role in the treatment of unstable angina pectoris of coronary heart disease from the pathophysiological aspect,which is worthy of clinical promotion.

Unstable angina pectorisBlood stasis syndromeZhuangtong YinInflammatory factor

李健、周鑫玲、王龙龙、许媛媛、韩思佳、李由、蒲宇

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广西国际壮医医院,广西 南宁,530201

不稳定型心绞痛 血瘀证 壮通饮 炎性因子

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(24)