血府逐瘀汤加减治疗老年稳定型心绞痛并焦虑抑郁状态 30例疗效观察

目的观察血府逐瘀汤加减治疗老年稳定型心绞痛的“双心”(即心脏疾病合并心理疾病)疗效。方法选取安徽中医药大学第一附属医院老年病心内科 2019年 1—12月住院的老年稳定型心绞痛病人 60例,分为对照组和观察组各 30例。对照组给予常规药物治疗,观察组在常规治疗基础上给予血府逐瘀汤加减治疗,两组均以 4周为 1个疗程。治疗前后观察临床症状发作情况、心电图,采用广泛性焦虑量表( GAD-7)进行焦虑评定,同时记录不良反应情况。结果治疗 4周后,观察组的临床总有效率为 86.67%,高于对照组的 73.33%(P<0.05)心电图改善总有效率观察组为 93.33%,优于对照组的 73.33%(P<0.05),治疗后焦虑发生率观察组为 16.7%,低于对照组的 46.7,%,广泛性焦虑量表评分观察组为( 4.03±1.85)分,低于对照组的( 6.32±

Curative effect observation of treatment with modified Xuefu Zhuyu decoction in the 30 cases elderly patients with stable angina pectoris complicated with anxious or depressed state

Objective To observe the psycho-cardiology efficacy of treatment with Modified Xuefu Zhuyu decoction in the elderly patients with stable angina pectoris.Methods A total of 60 elderly patients with stable angina pectoris who underwent cardiology treat-ment in the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from January 2019 to December 2019 were se-lected. The patients were randomly assigned into control group (n=30) and observation group (n=30). The control group was given the conventional medications, while the bservation group was given modified Xuefu Zhuyu decoction on the basis of conventional therapy, 4weeks as a course. Clinical TCM symptoms were observed, the electrocardiogram was determined and the patients were given anxiety re-views by using generalized anxiety disorder-7 (GAD-7) before and after treatment, and adverse reactions were recorded.Results After four weeks of the treatment, the clinical total effective rate in observation group was 86.67%, which was higher than the 73.33% of con-trol group (P<0.05). The total effective rate of electrocardiograph improvement in the observation group was 93.33%, which was betterthan the 73.33% of control group (P<0.05). The occurrence rate of anxiety after treatment in the observation group was 16.7%, whichwas lower than the 46.7% of control group, and the score of GAD-7 in the observation group was (4.03±1.85) scores, which was lowerthan the control group (6.32±3.04) scores], there were statistical differences between patients with observation group and control group(P<0.05).Conclusions The clinical efficacy of modified Xuefu Zhuyu decoction can significantly increase in treating the elderly pa-tients with stable angina pectoris, and it may improve obviously the patients'' electrocardiogram. It can reduce the occurrence rate ofanxiety and score of GAD-7, which can get the effect of "psycho-cardiology".