论文部分内容阅读
[目的]观察针刺与疏血通联合西药治疗冠心病心绞痛疗效。[方法]使用随机平行对照方法,将82例住院患者按病志号抽签/就诊顺序号方法随机分为两组;阿司匹林100mg,1次/d;阿托伐他汀钙10mg,1次/晚。对照组41例单硝酸异山梨酯60mg,1次/d;胸痛发作时予硝酸甘油1mg,舌下含服。治疗组41例针刺(内关、心俞、厥阴俞、巨阙、膻中、膈俞、郄门、阿是穴);疏血通6m L,静脉注射,1/d。连续治疗10d为1疗程。观测临床症状、西雅图心绞痛调查量表、ET-1、Hcy、不良反应。治疗1疗程,判定疗效。[结果]西雅图心绞痛调查量表积分两组均有明显升高(P<0.05),治疗组升高优于对照组(P<0.05)。血清ET-1、Hcy水平两组均有明显降低(P<0.05),治疗组降低优于对照组(P<0.05)。[结论]针刺与疏血通联合西药治疗冠心病心绞痛,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of acupuncture combined with Shuxuetong in treating angina pectoris of coronary heart disease. [Methods] Using randomized parallel control method, 82 inpatients were randomly divided into two groups according to the number of patient’s lottery drawing / visiting sequence number; aspirin 100mg once a day and atorvastatin calcium 10mg once a night. Control group, 41 cases of isosorbide mononitrate 60mg, 1 / d; chest pain onset of nitroglycerin 1mg, sublingual. The treatment group of 41 cases of acupuncture (Neiguan, heart Yu, Jue Yin Yu, Juque, Langzhong, Geshu, gynostemma, acupoints); Shuxuetong 6mL, intravenous injection, 1 / d. Continuous treatment of 10d for a course of treatment. Clinical symptoms, Seattle angina questionnaire, ET-1, Hcy, adverse reactions were observed. Treatment of a course of treatment to determine the efficacy. [Results] The score of Seattle Angina Scale was significantly higher in both groups (P <0.05), and the treatment group was superior to the control group (P <0.05). Serum ET-1, Hcy levels were significantly lower in both groups (P <0.05), the treatment group was better than the control group (P <0.05). [Conclusion] Acupuncture and Shuxuetong combined with western medicine in treating angina pectoris of coronary heart disease have satisfactory curative effect and no serious adverse reactions, which deserves promotion.