四逆汤治疗冠心病心绞痛患者生活质量的变化

目的:探讨经典方四逆汤治疗冠心病心绞痛的临床效果,比较单纯中药、西药及中西医结合对患者生活质量的影响.方法:选择88例冠心病心绞痛患者,分别用消心痛、四逆汤和四逆汤加联合消心痛治疗,观察心绞痛症状、心电图的变化,评价患者的生活质量.结果:消心痛和四逆汤均能能明显缓解患者心绞痛、改善心电图、提高生活质量评分,四逆汤提高生活质量评分的效果好于消心痛,但四逆汤和消心痛联合应用时临床疗效和生活质量改善最优.结论:中医药在改善患者生活质量方面具有优势;临床用药时,应该取中西医之长.

Living Quality Change of Sini Decoction in Treating Angina Pectoris

Objective:To assess the clinical action of Sini decoction(SD) on angina pectoris, and compare the living quality of pure Chinese drugs,Western medicine and integrated Traditional and Western medicine in treating angina pectoris(AP). Methods:88 patients with coronary heart disease(CHD) were divided into 3 groups which were differently treated by isosorbide dinitrate(ID), SD and combination of SD and ID. The change of AP, ECG and score of living quality were deserved. Results: Both SD and ID could obviously relax AP,improve ECG,enhance the score of living quality. SD was better than ID on score of living quality. SD combined with ID had the best clinical effect on the syndrome of AP,ECG and score of living quality in treating CHD. Conclusion:ID combined with Chinese medicine had unique advanstage in treating AP.