目的 观察双龙煎治疗心脏X综合征的临床疗效及其安全性.方法 60例心脏X综合征患者随机分为双龙煎组和丹参片组.进行活动平板运动试验,观察两组临床总有效率.结果 双龙煎组临床症状明显改善,每周心绞痛发作次数较治疗前及丹参片纽显著减少,总有效率83.3%,优于丹参组的56.7 %(P<0.05).而平板运动时ST段压低>0.1 mV的持续时间明显缩短,运动后ST段压低之和显著降低及运动至心绞痛出现的时间明显延长,与治疗前及丹参片组治疗后比较差异均有统计学意义(P<0.05或P<0.01).结论 双龙煎能明显缓解心脏X综合征患者心绞痛症状,提高患者运动耐量.%Objective To observe the clinical efficacy and safety of Shuanglong decoction on patients (pts) with cardiac syndrome X. Methods Sixty pts with cardiac syndrome X were randomized into two groups;Control group(n = 30) received conventional medical treatment plus Danshen tablets,and trial group(n = 30) received conventional medical treatment plus Shuanglong decoction. After treatment for 8 weeks, the clinical efficacy and treadmill exercise test were observed. Results In the trial group,the total clinical effective rate was 83. 3% and symptoms were improved significantly compared with control group(P<0. 05). Treadmill exercise test time from beginning to angina pectoris attacks was prolonged, the sum of ST segments depression 00. 1 mV) was decreased and the duration of ST segments depression (>0. 1 mV) was shortened in trial group compared with control group (P<0. 05 or P展开▼