目的 探讨治疗心绞痛更为有效的治疗方法.方法 选择100例冠心病心绞痛患者作为研究对象,随机分为观察组和对照组,每组各50例.对照组在内科常规治疗的基础上采用葛根素注射液100 mL(含0.2 g),静脉点滴,2次/d.观察组在上述治疗的基础上给予穴位埋植药线并配合自体指压穴位.两组均治疗14 d为1个疗程,连续治疗2个疗程后评定疗效.主要观察两组患者临床症状,心绞痛程度及发作频率以及心电图缺血状态等的改变情况.结果 两组治疗后心绞痛症状和心电图疗比较差异具有高度统计学意义(均P < 0.01),观察组疗效优于对照组.两组每周的心绞痛发作次数治疗前无显著性差异(P > 0.05),治疗后具有非常显著性差异(P < 0.01),观察组治疗后的心绞痛发作次数较对照组大大减少.结论 葛根素注射液静脉点滴配合指压和穴位埋植药线用于治疗冠心病心绞痛疗效可靠.%Objective To explore a more effective treatment of angina pectoris. Methods 100 cases of angina patients were randomly assigned to observation group and control group of 50 cases. In addition to routine medical treatment, patients in the control group were given intravenous puerarin injection of 100ml (containing 0.2 g) twice a day. Patients in the observation group were given additional acupuncture points drug line implant and self-acupressure compared to patients in the control group. Therapeutic efficacies of the two groups were evaluated after 2 courses of continuous treatment for 28 days. Changes in clinical symptoms, extent and frequency of attacks of angina and electrocardiogram ischemia of the two groups were observed and analyzed as indicators of therapeutic efficacy. Results Both groups achieved significant improvements in angina symptoms and ECG scores (all P <0.01), with superior efficacy in the observation group. Weekly number of angina attacks of the two groups were not significantly different before treatment (P > 0.05), but were after treatment (P < 0.01). Number of angina attacks in the observation was significantly reduced compared with that in the control group. Conclusion Intravenous drip of puerarin combined with self-acupressure and acupuncture points drug line implant were effective and reliable in the treatment of angina pectoris.
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