益气活血中药联合常规西药治疗冠心病心肌缺血气虚血瘀证临床研究

目的观察益气活血中药联合常规西药治疗冠心病心肌缺血气虚血瘀证的疗效。方法将124例冠心病心肌缺血中医证属气虚血瘀证患者随机分为治疗组（78例）和对照组（46例）,治疗组采用常规西药＋益气活血中药治疗,对照组仅用常规西药治疗。疗程6周。观察2组患者心电图、左心室功能和临床症状等变化情况。结果治疗组心电图∑ST、NST和左心室功能改善、心绞痛缓解情况明显优于对照组,且对胸闷、心悸、气短、乏力等改善作用显著（P〈0.05或P〈0.01）。结论益气活血中药联合西医常规治疗可明显提高冠心病心肌缺血气虚血瘀证的临床疗效。

Clinical Study of Treatment with Invigorating Qi and Activiting Blood Circulation Chinese Medicine Combined with Conventional Western Medicine for Myocardial Ischemia of Coronary Heart Disease with Qi Deficiency and Blood Stasis

Objective To observe the therapeutic effect of invigorating qi and activating blood circulation Chinese medicine combined with conventional western medicine on myocardial ischemia of coronary heart disease with syndrome of qi deficiency and blood stasis.Methods One hundred and twenty-four patients with myocardial ischemia of coronary heart disease with syndrome of qi deficiency and blood stasis were randomized into treatment group(78 cases) and control group(46 cases).The treatment group was treated with Chinese medicine of invigorating qi and activating blood circulation combined with conventional western medicine,and control group was treated with conventional western medicine only.The changes of electrocardiogram,left ventricular function and clinical symptoms were observed before and after treatment.Results The ∑ST,NST of electrocardiogram,left ventricular function and clinical symptoms of angina pectoris were obviously improved.The treatment group was better than control group,especially for the relief of chest tightness,palpitations,shortness of breath and hypodynamia(P < 0.05,P < 0.01).Conclusion Invigorating qi and activating blood circulation Chinese medicine can significantly improve clinical therapeutic effect for the myocardial ischemia of coronary heart disease with syndrome of qi deficiency and blood stasis.