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[目的]评价血府逐瘀汤合栝蒌薤白半夏汤加减治疗稳定型心绞痛并高脂血症的临床疗效。[方法]将68例稳定型心绞痛并高脂血症患者随机分为治疗组36例,对照组32例,对照组给予硝酸酯类,阿司匹林等常规治疗;治疗组在对照组常规治疗的基础上,加血府逐瘀汤合栝蒌薤白半夏汤加减口服,观察两组患者治疗4周后的症状、心电图及总胆固醇(TC)、甘油三酯(TG)及低密度脂蛋白胆固醇(LDL-C)改善情况。[结果]治疗组症状、心电图改善优于对照组(P<0.05),TC、TG及LDL-C改善情况优于对照组(P<0.01)。[结论]西药加血府逐瘀汤合栝蒌薤白半夏汤加减对稳定性心绞痛并高脂血症的疗效优于单纯的西药治疗。
[Objective] To evaluate the clinical effect of Xuefu Zhuyu Decoction combined with 栝 蒌 薤 Baibanxia Decoction in treating stable angina pectoris and hyperlipidemia. [Method] Sixty-eight patients with stable angina and hyperlipidemia were randomly divided into treatment group (36 cases) and control group (32 cases). The control group was given routine treatment of nitrates and aspirin. On the basis of conventional treatment in the control group , Plus Xuefuzhuyu Decoction (栝 逐 蒌 薤 白 半夏 汤 plus 减 蒌 薤 白巴夏 汤 addition and subtraction oral administration, observe the symptoms, ECG and total cholesterol (TC), triglyceride (TG) and low density lipoprotein cholesterol -C) Improve the situation. [Results] The improvement of symptoms and electrocardiogram in treatment group was better than that in control group (P <0.05). The improvement of TC, TG and LDL-C was better than that of control group (P <0.01). [Conclusion] Western medicine plus Xuefu Zhuyu decoction combined with Baiji Xiaobaibanxia Decoction has better curative effect than simple western medicine on stable angina pectoris and hyperlipidemia.