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1、通脈飲治療冠心病心絞痛(氣虛血瘀證)的臨床研究黑龍江中醫(yī)藥大學(xué)碩士學(xué)位論文通脈飲治療冠心病心絞痛(氣虛血瘀證)的臨床研究姓名:劉鋰申請(qǐng)學(xué)位級(jí)別:碩士專業(yè):中醫(yī)內(nèi)科學(xué)指導(dǎo)教師:于忠學(xué);龔占悅20040501黑龍扛中醫(yī)藥大學(xué)碩士學(xué)位論文中文摘要冠狀動(dòng)脈粥樣硬化性心臟病簡(jiǎn)稱冠心病,是危害人類健康的主要疾病。我國(guó)的發(fā)病率、死亡率雖較西方發(fā)達(dá)國(guó)家低,但從發(fā)展趨勢(shì)預(yù)測(cè),未來10到20年間其發(fā)病率、死亡率將會(huì)大幅度增加。因此在現(xiàn)有醫(yī)療技術(shù)條件基礎(chǔ)上繼續(xù)尋求更好的預(yù)防、治療方法是醫(yī)療界的熱點(diǎn)。冠心病心絞痛可歸屬祖國(guó)醫(yī)學(xué)的“胸痹”、“心痛”等范疇。中醫(yī)學(xué)在幾千年的
2、醫(yī)療實(shí)踐中總結(jié)了許多行之有效的治法、方、藥,并本著“天人合一”、“辨證論治”、“治病求本”的特點(diǎn),在該病的防治中顯示了獨(dú)特的優(yōu)勢(shì)。通脈飲是導(dǎo)師于忠學(xué)教授生前多年臨床實(shí)踐總結(jié)出的治療氣虛血瘀型胸痹有效方劑,為觀察本方的臨床療效,本課題選取50例氣虛血瘀型胸痹患者對(duì)其心絞痛發(fā)作情況、臨床癥狀、體征、心電圖改變、硝酸甘油停減情況及血脂變化進(jìn)行觀察,并設(shè)50例患者作為對(duì)照組,服用養(yǎng)心氏。兩組患者治療1個(gè)月后,進(jìn)行比較。結(jié)果表明,通脈飲可以減輕心絞痛發(fā)作,減少硝酸甘油的消耗量;改善患者臨床癥狀、體征;改善心電圖;并有較好的調(diào)節(jié)脂質(zhì)代謝紊亂的作用。其作用好于
3、養(yǎng)心氏對(duì)照組。關(guān)鍵詞:冠心病氣虛血瘀型通脈飲臨床觀察墨壟堊!墾墊查堂堡主蘭些堡苧ABSTRACToneoftheHeartAsDiseaseCHDisknows,Coronaryeveryduotoitsareharmfultohealthailmentswhichmainhighpeople’SwillinourincidenceofCHDandoccurrencecountrymortality.,Theitistentointhenextincreaseyearsthoughc'onsiderablytwentyeffectiveweste
4、rncountries.SothanthatinthelowerexploringforandistheintheCHDmethodstreatingkeyproblempreventingmedicalfield.a(chǎn)ndcardiacCHDistopainanginapectorisowingepigastrichadaTraditionalChineseMedicine.ItobstructionindevelopedmethodthetreatmentofCHDinduringsystematictherapeuticforitsofand
5、showedseveralthousandsyearssuperiorityofwithcharacteristicssyndrometherapyandnature.a(chǎn)ndofmanthecausebasedonintegrationprincipletheofintreatmentmaiisaneffectiveprescriptionTongyinofandbloodcardiacobstructionstagnationtypedeficiencyqithetutor’Scasesweretoexperiences.30randomlya
6、ccordingandcontrolistreatmentdividedintotwogroupgroupgroups,thatshowedthatadministration.ItiswhichgivenYangXinShipillsonVesselshadofDcoctionbreakinggoodregulationsPromotingofoftimesNitroglycerin,capacityanginapectoris,expendingmetabolicandofclinicalsyndromepatients,electrocar
7、diogramtoandisdisorderofYangXinShipills.superiorlipidPectoris/HeartDisease/Anginawords:CoronaryKeyofandBloodPromotingStagnationType/DcoctionQiDeficiencyionniObservatjVessels/Clcal3刖吾冠心病CHD又稱缺血性心臟病,是由于冠狀動(dòng)脈血流和心肌需求之間不平衡而導(dǎo)致的心肌損害,可表現(xiàn)為心絞痛、心肌梗死、心率失常、心力衰竭等多種形式,為臨床常見病、多發(fā)病。冠心病在經(jīng)濟(jì)和工業(yè)化發(fā)達(dá)
8、的國(guó)家是居于首位的死亡原因。在我國(guó)冠心病的發(fā)病雖低于西方工業(yè)化國(guó)家,但隨著經(jīng)濟(jì)的發(fā)展、人們生活質(zhì)量的提高、飲食結(jié)構(gòu)的改變等因素的作用,目