血府逐淤汤治疗冠心病不稳定型心绞痛35例临床观察

①目的探讨血府逐淤汤加味治疗不稳定型心绞痛的临床疗效。②方法将入选70例患者随机分为观察组与对照组,每组35例。对照组采用西药抗心绞痛治疗方案。观察组在对照组治疗基础上联用血府逐淤汤加味。均以20天为一个疗程。一疗程后评定疗效。观察心绞痛症状改善情况、心电图变化、血流变变化情况及血脂水平的变化。③结果观察组显效22例,有效10例,无效3例,显效率62.9%,总有效率为91.4%;对照组组显效19例,有效9例,无效7例,显效率54.3%,总有效率为80.0%。④结论观察组治疗后心绞痛症状和心电图明显改善,、总胆固醇、甘油三酯明显下降。血府逐淤汤具有扩张冠状动脉、降低周围血管阻力、抑制血小板和红细胞聚集、改善微循环作用,对不稳定型心绞痛疗效明确、显著。

Observation of the therapeutic effect of xuefuzhuyutang in 35 cases of unstable angina pectoris

Objective To observe the therapeutic effects of Xuefuzhuyutang in treatment of unstable angina pectoris.Methods Seventy patients with unstable angina pectoris were randomly divided into treatment group and control group,each having 35 patients.The control group was treated with routine western medicine.The treatment group was treated with Xuefuzhuyutang,in addition to the above-metioned routine medicine for the control group.The therapeutic effects of both groups were evaluated after a period of treatment(20 days) by observing the improvement of symptom and the changes of electrocardiogram,hemorheology and bood lipid level.Results The therapeutic effect was excellent for 22 cases,effective for 10 cases and noneffective for 3 cases,the excellent rate was 62.9% the general effective rate was 91.4 % in the treatment group,while it was 19,9,7and 80.0 % respectively in the control group.Conclusion The therapeutic effect was much better in the treatment group compared with the control group.Angina pectoris symptom and electrocardiogram datas in the treatmant group were greatly improved,while their blood viscosity,plasma viscosity,plasma level of fibrinogen,total cholesterol and triglyceride obviously decreased.Xuefuzhuyutang has a specific and definite curative effect on unstable angina pectoris.It can distend coronary,decrease the resistance of blood vessel,restrain the aggregation of hematoblasts and red blood cells and improve microcirculation.