疏肝解郁方治疗冠心病不稳定型心绞痛气滞血瘀证的临床观察

目的：观察疏肝解郁方治疗冠心病不稳定型心绞痛气滞血瘀证的临床疗效。方法将符合纳入标准的患者120例，随机分为治疗组和对照组各60例，对照组为西医常规药物治疗，治疗组在对照组治疗基础上加用疏肝解郁方口服，每次1袋（200mL），1日2次。治疗4周后对比2组临床疗效。结果治疗组心绞痛、心电图改善优于对照组，差异有统计学意义（P＜0.05）；两组中医证候积分比较差异有统计学意义（P＜0.01）；2组中医证候疗效比较，差异有统计学意义（P＜0.05）；治疗组硝酸甘油停减率明显高于对照组，差异有统计学意义（P＜0.05）。结论疏肝解郁方治疗冠心病不稳定型心绞痛气滞血瘀证疗效确切。

The Clinical Study on Unstable Angina Type of Qi Stagnation and Blood Stasis Treated by Shuganjieyu Decoction

Objective Observe the Clinical efficacy on unstable angina type of Qi stagnation and blood stasis treated by shuganjieyu decoction. Methods Select 120 Patients of unstable angina type of Qi stagnation and blood stasis, randomly divided into treatment group 60 cases and Control group 60 cases. Control group treated with conventional western medicine, treatment group taking shuganjieyu decoction on the basis of conventional western medicine, twice a day. Observe and statistics the changes in the two groups 4 weeks later. Results Treatment group is better than Control group in angina and ECG, with significantly different （P〈0.05）. Reduce the level of TCM symptom score was significantly better in treatment group than in the control group （P〈0.01）, compared two groups of Chinese medicine symptoms of the total effect was significant （P〈0.05）, The withdrawal rate of nitrate were significantly different （P〈0.05）, The treatment group was significantly better than control group. Conclusion shuganjieyu decoction can effectively control Angina Type of Qi Stagnation and Blood Stasis.