简介:摘要目的探讨冠心病心绞痛患者采用中医辨证分型治疗的临床效果。方法选择2018年3月~2019年3月在我院治疗的冠心病心绞痛患者共54例为研究对象,将患者按照入院顺序分为观察组和对照组各27例,对照组给予常规西药治疗,观察组采用辨证分型治疗,比较两组疗效及并发症。结果观察组治愈12例(44.44%)、有效13例(48.15%)、无效2例(7.41%),总有效率92.59%;对照组治愈7例(33.33%)、有效14例(51.85%)、无效6例(22.22%),总有效率77.78%;差异显著,P<0.05。观察组出现1例头晕,并发症发生率为3.70%;对照组出现2例头痛,3例低血压并发症发生率为18.52%;差异显著,P<0.05。结论中医辨证分型治疗冠心病心绞痛具有显著疗效,安全性更高,值得临床应用。
简介:摘要目的探讨对冠心病心绞痛患者应用中医辨证的临床效果。方法本试验选择2016年3月~2018年3月我院收治的冠心病心绞痛患者58例为研究对象,将患者按照入院顺序分为观察组和对照组各29例,对照组采用常规治疗,观察组采用中医辨证治疗,比较两组临床疗效。结果观察组29例患者中,显效18例(62.07%)、有效9例(31.03%)、无效2例(6.90%),总有效率为93.10%;对照组29例患者中,显效11例(37.93%)、有效10例(34.48%)、无效8例(27.59%),总有效率为72.41%;差异存在统计学意义(P<0.05)。结论对冠心病心绞痛患者应用中医辨证施治,有利于提高治疗效果,提高患者生活质量,值得临床应用。
简介:摘要目的探究冠心病心绞痛中医病因病机及辩证分型。方法本文所选取的研究材料均来源于中国学术期刊全文数据库(CNKI)中的数据资料,数据资料发表的时间段为2010年至2018年,期刊的类型为核心期刊,在搜索中输入冠心病心绞痛、中医病因病机、辩证分型等词汇,进行检索。对检索出来的原始文献进行阅读,在Excel表格中录入数据,并建立完整的数据库,严格按照《中医临床诊疗术语?症候部分》中的研究进行辩证分型。结果冠心病心绞痛的中医辩证分型包括气虚血瘀证、心气亏虚症、心血瘀阻证、痰阻心脉证、心阳亏虚证、气阴两虚证、心阴亏虚证、心脉气滞证、寒凝心脉证、气滞血瘀证。结论对冠心病心绞痛患者进行中医病因病机辩证分型研究具有必要性,有助于快速了解冠心病心绞痛的发病原因及发病机制,结合患者病情的实际情况进行辩证分型,为今后冠心病心绞痛疾病的研究提供有效信息,为疾病的临床治疗提供依据。
简介: 【摘要】 目的 探讨中医辨证分型治疗冠心病不稳定型心绞痛的临床疗效。方法 78例冠心病不稳定型心绞痛患者, 随机分为对照组和观察组, 各 39例。对照组患者采用复方丹参滴丸进行治疗, 观察组患者采用中医辨证分型治疗。比较两组患者临床疗效、心电图疗效。结果 ①临床疗效:对照组患者显效 9例( 23.08%), 有效 13例( 33.33%), 无效 17例( 43.59%), 总有效率为 56.41%;观察组患者显效 14例( 35.90%), 有效 17例( 43.59%), 無效 8例( 20.51%), 总有效率为 79.49%。观察组患者总有效率明显高于对照组, 差异具有统计学意义( χ2=4.768, P<0.05)。②心电图疗效:对照组患者优 10例( 25.64%), 良 9例( 23.08%), 差 20例( 51.28%), 优良率为 48.72%;观察组患者优 15例( 38.46%), 良 14例( 35.90%), 差 10例( 25.64%), 优良率为 74.36%。观察组患者优良率明显高于对照组, 差异具有统计学意义( χ2=5.417, P<0.05)。结论 中医辨证分型治疗冠心病不稳定型心绞痛具有较好的效果, 值得在临床进行推广。 【关键词】 中医辨证 ;冠心病:不稳定型心绞痛 ;分型治疗 [Abstract] Objective To explore the clinical effect of TCM syndrome differentiation and typing on unstable angina pectoris of coronary heart disease. Methods 78 patients with unstable angina pectoris were randomly divided into control group and observation group, 39 cases each. The patients in the control group were treated with Compound Danshen dropping pills, and the patients in the observation group were treated with TCM syndrome differentiation and typing. The clinical effect and electrocardiographic effect of the two groups were compared. Results ① clinical effect: in the control group, 9 cases were effective (23.08%), 13 cases were effective (33.33%), 17 cases were ineffective (43.59%), the total effective rate was 56.41%; in the observation group, 14 cases were effective (35.90%), 17 cases were effective (43.59%), 8 cases were ineffective (20.51%), the total effective rate was 79.49%. The total effective rate of the observation group was significantly higher than that of the control group (χ 2 = 4.768, P < 0.05). ② ECG effect: in the control group, 10 patients were excellent (25.64%), 9 patients were good (23.08%), 20 patients were poor (51.28%), and the excellent and good rate was 48.72%; in the observation group, 15 patients were excellent (38.46%), 14 patients were good (35.90%), 10 patients were poor (25.64%), and the excellent and good rate was 74.36%. The excellent rate of the observation group was significantly higher than that of the control group (χ 2 = 5.417, P < 0.05). Conclusion TCM syndrome differentiation has a good effect on unstable angina pectoris of coronary heart disease, which is worth popularizing in clinic.
简介:摘要目的本次主要对冠心病不稳定性心绞痛采用中医辨证分型治疗的效果进行分析,为临床治疗提供重要依据,确保患者能够早日康复。方法选取我院收治的冠心病不稳定性心绞痛患者80例,根据所有患者入院的编号进行平均分组,单号为实验组,双号为对照组,各40例,对照组给予西医治疗,实验组给予中医辨证分型治疗。结果从病情改善情况来看,实验组总有效率总有效率38(95.00%),对照组32(80.00),P<0.05;两组患者的心率、血压测量情况来看,实验组总优良率31(77.50%),对照组总优良率25(62.50%),P<0.05。结论治疗冠心病不稳定性心绞痛运用中医辨证分型,其方法起效快,能够有助于患者心悸、胸闷、气急、心痛等症状得到明显改善,此方法得在临床上大力推广。