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1、血府逐瘀湯聯(lián)合前列地爾注射液治療冠心病心絞痛的臨床研究 摘要:目的運(yùn)用中西醫(yī)醫(yī)學(xué)理論全面認(rèn)識冠心病心絞痛,初步探討中西醫(yī)結(jié)合治療冠心病心絞痛的臨床經(jīng)驗(yàn),并通過臨床病例觀察研究對血府逐瘀湯聯(lián)合前列地爾注射液治療冠心病心絞痛的臨床效果進(jìn)行初步評定,為應(yīng)用中西醫(yī)結(jié)合治療冠心病心絞痛提供新思路、新療法、新治療方案。方法隨機(jī)將80例冠心病心絞痛患者分為治療組40例和對照組40例。治療組給予血府逐瘀湯1劑/d,2次/d,水煎服,每次200ml,同時聯(lián)合前列地爾100~200μg,靜脈推注,1次/d。對照組給予消心痛,口服,10mg/次,3次/d。結(jié)果治療組各項(xiàng)指標(biāo)均優(yōu)于對照
2、組,P<0.05。結(jié)論臨床驗(yàn)證血府逐瘀湯聯(lián)合前列地爾注射液可有效改善冠心病心絞痛的臨床癥狀,可減少硝酸甘油使用量并改善心電圖情況,本法值得推廣?! £P(guān)鍵詞:血府逐瘀湯;前列地爾;冠心病心絞痛 ClinicalStudyonTreatmentofAnginaPectorisofCoronaryHeartDiseasewithXuefuzhuyuDecoctionCombinedwithAlprostadilInjection MEIXiao-quan1,CHENChang-qing2,CHENXiao-bing1,HEShan-ying1,HEYong-lian
3、g1,HEYi-guang1,SUNXiao-yong3 ?。?.DepartmentofInternalMedicine,AnyuanWomenandChildrenHospital,Ganzhou342100,Jiangxi,China; 2.DepartmentofInternalMedicine,XinfengHospitalofTraditionalChineseMedicine,Ganzhou341600,Jiangxi,China; 3.DepartmentofTraditionalChineseMedicine,F(xiàn)irstAffiliatedH
4、ospitalofGannanMedicalCollege,Ganzhou341000Jiangxi,China) Abstract:ObjectiveTousethewesternmedicinetheoryofcomprehensiveunderstandingofcoronaryheartdiseaseanginapectoris,preliminarystudyofintegratedTraditionalChineseandWesternMedicineclinicalexperienceinthetreatmentofanginapectorisof
5、coronaryheartdisease,clinicaleffectandthroughtheclinicalobservationofXuefuzhuyuDecoctionCombinedwithAlprostadilInjectioninthetreatmentofanginapectorisofpreliminaryevaluation,fortheapplicationofcombinationoftraditionalChineseandWesternmedicinetoprovidenewideasandtreatmentofcoronaryhear
6、tdiseaseanginapectoristhenewtherapy,newtreatment.Methods80patientswithanginapectoriswererandomlydividedintothetreatmentgroupof40casesand40casesinthecontrolgroup.ThetreatmentgroupwasgivenXuefuzhuyuDecoctionof1dosesof/d,2times/d,waterdecoction,200mleachtime,atthesametimecombinedwithalpr
7、ostadil100~200μg,intravenousinjection,the1/d.Thecontrolgroupreceivedisosorbidedinitrate,oral,10mg/,3/d.ResultsTheindexesofthetreatmentgroupwerebetterthanthecontrolgroup,P<0.05.ConclusionTheclinicalvalidationofXuefuzhuyuDecoctionCombinedwithAlprostadilInjectioncaneffectivelychangethecl
8、inica