自拟血府瓜蒌汤联合西药治疗不稳定型心绞痛疗效观察

摘要

Objective:To observe the clinical effect of self-made Xuefu Gualou soup in the treatment of Coronary heart disease and unsteady type angina pectoris.Method:62 patients with unstable angina pectoris were randomly divided into western medicine group and observation group. The western medicine group do the guidelines and is given standardized treatments,which conclude antiplatelet,anticoagulation,nitrates drugs,beta blockers,calcium antagonists and angiotensin converting enzyme inhibitor(ACEI)or ARB,lipid regulating drugs,hypoglycemic agents etc. The observation group was cured with the western medicine plus the use of self-made Xuefu Gualou soup,then to determine the efficacy after 10 treatment days.Result:The observation group is greatly improved in the symptoms of angina pectoris, electrocardiogram,pain attack frequency,nitroglycerin dosage etc,and the curative effect was better than western medicine group.Conclusion:On the basis of western medicine standardized treatment combined with Xuefu Gualou soup, there is a better curative effect than the pure western medicine treatment in improving patients with unstable angina pectoris symptoms and related indexes,and the safety is good and no obvious adverse reaction.%目的：观察自拟血府瓜蒌汤治疗冠心病不稳定型心绞痛的临床疗效。方法：将62例不稳定型心绞痛患者随机分为西药组和观察组。西药组遵行指南给予抗血小板药、抗凝药、硝酸酯类药、β-受体阻滞剂、钙离子拮抗剂、血管紧张素转化酶抑制剂（ACEI）或ARB、调血脂药、降糖药等规范治疗；观察组在西药基础上加用自拟血府瓜蒌汤，共治疗10 d后进行疗效判定。结果：观察组在心绞痛症状、心电图、疼痛发作次数、硝酸甘油用量等方面均有较大改善，且疗效优于西药组。结论：在西药规范治疗的基础上加用血府瓜蒌汤，在改善不稳定型心绞痛患者的症状和相关指标方面均较单纯西药治疗有较好的疗效，且安全性好无明显不良反应。