中西医结合治疗不稳定型心绞痛临床效果观察

摘要

目的：探讨中西医结合治疗冠心病不稳定型心绞痛的临床价值。方法2013年1月—2015年6月辽宁省凌海市中医院诊治80例不稳定型心绞痛患者随机分为中西医结合组及单纯西医组各40例，单纯西医组常规给予硝酸酯制剂、肠溶阿司匹林、β－受体阻滞剂、钙通道阻滞剂，对症降压降脂治疗等；中西医结合组在单纯西医组的基础上加服中药，2周为一个疗程。结果两组患者治疗前心绞痛发生次数，持续疼痛时间差异不显著（ P＞0．05）；治疗一个疗程以后中西医结合组不稳定心绞痛发作频率（1．34±0．80）次／周、发作持续时间（1．96±0．65）min／次均低单纯西医组的（3．45±0．76）次／周、（3．22±0．98）min／次；总有效中西医结合组（97．50％）高于单纯西医组（81．00％），P＜0．05。结论对不稳定型心绞痛患者进行常规的药物治疗后以中药进行辅助治疗，能够减少心绞痛发作频率及持续时间，具有显著的临床效果，可在临床推广使用。%Objective To explore the clinical value of therapy of integrated medicine in treatment of unstable angina pectoris of coronary heart disease.Method From January 2013 to June 2015, 80 cases of patients with unstable angina pectoris of coronary heart disease in Linghai hospital of traditional Chinese medicine were randomly divided into integrated medicine group and Western medicine group , with 40 cases in each group. The Western medicine group was given conventional nitrate ester preparation, enteric coated aspirin, beta blockers, calcium channel blocking agent, combination with symptomatic antihypertensive and lipid lowering treatment .The integrated medicine group was given Chinese herbal medicine based on the control group.2 weeks was a course of treatment.Results Before treatment, the difference on angina attack frequency and persistent pain time between the two groups was not significant (P>0.05).After a course of treatment, unstable angina attack frequency of the integrated medicine group was (1.34 ±0.80) times /week, seizure duration of the integrated medicine group was (1.96 ±0.65) per time, which was lower than (3.45 ±0.76) times /week and (3.22 ±0.98) per time of the Western group, respectively.The total effective rate of the integrated medicine group was 97.50%which was higher than 81.00% of the Western medicine group (P<0.05).Conclusion Routine drug treatment combined with Chinese medicine adjuvant therapy in treatment of unstable angina pectoris of coronary heart disease can reduce the frequency and duration of angina attack, has significantly clinical effect, and can be used in the clinic medicine.