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瓜蒌延胡汤治疗卧位性心绞痛临床观察

Clinical Observation on Gualou Yanhu Decoction in the Treatment of Supine Angina Pectoris
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摘要 目的研究瓜蒌延胡汤对卧位性心绞痛患者心功能及血脂水平的影响。方法此次200例研究对象均从鞍山市中医院收治的卧位性心绞痛患者中选取,选例时间为2019年3月—2021年3月,分为观察组与对照组,根据随机数字表法,各100例。对照组患者予以常规治疗,观察组患者基于对照组加用瓜蒌延胡汤治疗。2组患者均连续治疗15 d。比较2组患者治疗后临床疗效,治疗前后生化指标、心功能及血脂水平情况。结果观察组患者治疗后的临床疗效较对照组高;2组患者治疗后,血清FIB、FBG、HCT、TG、TC及HR水平均较治疗前降低,其中观察组降低幅度高于对照组;2组患者治疗后,与治疗前相比LVD、LVEF、血清HDLC水平升高,其中观察组与对照组相比,其水平升高(均P<0.05)。结论瓜蒌延胡汤治疗卧位性心绞痛可有效缓解患者临床症状,改善心功能,优化生化指标,降低血脂水平,提高临床疗效。 Objective To study the effect of Gualou yanhu decoction on cardiac function and blood lipid levels in patients with supine angina pectoris.Methods A total of 200 patients with supine angina pectoris admitted to Anshan Hospital of Traditional Chinese Medicine from March 2019 to March 2021 were selected as the research objects,and were divided into the control group(100 cases)and the observation group(100 cases)according to the random number table method.Patients in the control group were given conventional treatment,and patients in the observation group were treated with Gualou Yanhu decoction based on the control group.Both groups of patients were treated continuously for 15 days.Results After treatment,the clinical efficacy of the control group was lower than that of the observation group.Serum FIB,FBG,HCT,TG,TC and HR levels of the two groups of patients after treatment were lower than before treatment,and in the control group,compared with the observation group,its level was reduced.The levels of LVD,LVEF,and serum HDL-C in the two groups after treatment were higher than those before treatment,and in the observation group,its level was higher than that of the control group(all P<0.05).Conclusion Gualou Yanhu decoction in the treatment of supine angina pectoris can effectively relieve the clinical symptoms of patients,improve cardiac function,optimize biochemical indicators,reduce blood lipid levels,and improve clinical efficacy.
作者 于斌 YU Bin(Department of Heart Disease,Anshan Hospital of Traditional Chinese Medicine,Liaoning Province Anshan 114001,China)
出处 《光明中医》 2022年第14期2489-2492,共4页 GUANGMING JOURNAL OF CHINESE MEDICINE
关键词 卧位性心绞痛 瓜蒌延胡汤 中医药疗法 supine Angina pectoris Gualou yanhu decoction therapy of TCM
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