简介:摘 要 : 目的:讨论中医内科胸痹心痛的治疗。方法:根据患者临床表现与辅助检查结果进行诊断并治疗。结论:胸痹心痛虽然外感内伤均可致病,但以内伤情志为主;其病兼五脏,但以心为主;其虚虽有阴阳气血之不同,但以气阴两虚为最多;而邪实则以血瘀为主。临证应据其虚实之多少,结合病人体质,灵活辨治。 关键词 : 胸痹;心痛;治疗 胸痹西医称冠心病,即冠状动脉硬化性心脏病,是一种最常见的心脏疾病。胸痹是指胸部闷痛,甚则胸痛彻背,短气、喘息不得卧为主症的一种疾病,轻者仅感胸阔加窒,呼吸欠畅,重者则有胸痛,严重者心痛彻背,背痛彻心。
简介:摘要目的观察参芪汤对胸痹心痛的临床疗效。方法选取某院收治的40例胸痹心痛患者,将其分为对照组和观察组各20例,对照组进行常规药物治疗,观察组进行参芪汤药物治疗,对比两组的临床疗效及单项病症的治疗情况。结果两组患者均治疗了1个月,观察组患者显效率为80%,观察组显效率为50%,两组对比差异具有统计学意义(P<0.05);对比两组患者的单项病症治疗情况,对照组心痛患者较多,为15例(75%),观察组心痛患者为1例(5%),两组对比差异具有统计学意义(P<0.05),对比差异具有统计学意义(P<0.05)。结论对于胸痹心痛患者采用中药参芪汤治疗效果显著,适合临床推广应用。
简介: 摘要:目的 观察胸痹心痛患者采用中西医结合治疗的有效性。方法 选择 2017年 12月~ 2018年 12月到我院接受治疗的 96例胸痹心痛患者作为研究对象,分成观察组与对照组,对照组采用西医进行治疗,观察组在对照组治疗基础上采用西医进行治疗,对比两组患者治疗效果。结果 观察组总有效率为 93.75%,对照组总有效率为 72.91%,观察组总有效率明显高于对照组,组间数据对比差异明显( P<0.05);观察组心绞痛发作频率、发作持续时间分别为( 1.23±0.44)、( 2.01±0.63),组间数据对比差异明显,有统计学意义( P<0.05)。结论 中西医结合用于胸痹心痛患者的临床治疗中,可获得较为理想的效果。 关键词:胸痹心痛;中西医结合;治疗效果 Abstract: Objective To observe the effectiveness of the treatment of chest arthralgia and heartache with the combination of traditional Chinese and Western medicine. Methods from December 2017 to December 2018, 96 patients with chest arthralgia and heartache who were treated in our hospital were selected as the research objects, and divided into the observation group and the control group. The control group was treated with western medicine, the observation group was treated with western medicine on the basis of the control group, and the treatment effect of the two groups was compared. Results the total effective rate of the observation group was 93.75%, the total effective rate of the control group was 72.91%, the total effective rate of the observation group was significantly higher than that of the control group, and the data comparison difference between the two groups was significant (P < 0.05); the frequency and duration of angina attack in the observation group were (1.23 ± 0.44), (2.01 ± 0.63), and the data comparison between the two groups was significant (P < 0.05). Conclusion the combination of traditional Chinese and Western medicine in the clinical treatment of patients with chest arthralgia and heartache can obtain more ideal results.
简介: 【摘要】目的:探讨应用中医辨证治疗胸痹心痛病的临床疗效。方法:选择我院 2018年 1月至 2020年 1月收治的胸痹心痛病患者 100例,将其随机分成实验组和对照组各 50例,对照组患者给予西药治疗,实验组患者给予中医辨证治疗,对两组患者的临床疗效进行对比分析。结果:实验组患者的临床治疗有效率显著高于对照组患者,两者比较差异有统计学意义( P<0.05);患者术后心率和心肌耗氧量显著改善,和治疗前比较差异有统计学意义( P<0.05)。结论:应用中医辨证治疗胸痹心痛病能有效提高临床治疗效果,值得临床推广应用。 【关键词】中医辨证;胸痹心痛病;临床疗效 [Abstract] Objective: To explore the clinical effect of syndrome differentiation of traditional Chinese medicine on chest arthralgia and heartache. Methods: 100 patients with chest arthralgia and heartache admitted to our hospital from January 2018 to January 2020 were randomly divided into experimental group and control group with 50 cases each. Patients in the control group were treated with western medicine, patients in the experimental group were treated with TCM syndrome differentiation, and the clinical effects of the two groups were compared and analyzed. Results: the effective rate of clinical treatment in the experimental group was significantly higher than that in the control group, and the difference was statistically significant (P < 0.05); the heart rate and myocardial oxygen consumption in the patients after operation were significantly improved, and the difference was statistically significant (P < 0.05). Conclusion: the application of TCM syndrome differentiation in the treatment of chest arthralgia and heartache can effectively improve the clinical treatment effect, which is worthy of clinical application.
简介:摘要目的探讨桂枝甘草汤对治疗心阳不振型胸痹心痛症的临床效果并总结。方法将在我院治疗的100例心阳不振型患者分为对照组和治疗组,对于对照组进行常规的药物治疗,治疗组则在对照组的基础上根据病情服用桂枝甘草汤进行治疗。治疗三周后,对两组患者的病状进行评估,根据评估结果判断桂枝甘草汤的治疗效果并分析总结。结果评估结果显示,治疗组的治疗效果优于对照组,可见桂枝甘草汤有利于治疗心阳不振型胸痹心痛症,值得推广。
简介: 【摘要】目的 探讨气虚血瘀型胸痹心痛采用养阴益气活血汤治疗方法的临床应用效果,分析其临床应用价值。方法 选取 2018年 6月~ 2019年 6月在我院接诊的气虚血瘀型胸痹心痛患者 113例,根据临床治疗方法不同将其分为观察组 56例(采用养阴益气活血汤治疗)和对照组 57例(采用丹红注射液的方法治疗)。结果 在接受不同治疗情况下,组间疗效对比,观察组 94.64%优于对照组 78.94%,组间差异有统计学意义( P<0.05)。观察组患者治疗后恶心、呕吐、轻微头痛的不良反应发生率低于对照组,对比差异有统计学意义( P<0.05)。结论 在当前气虚血瘀型胸痹心痛临床治疗过程中,养阴益气活血汤可有效改善患者临床症状,疗效显著,安全可靠,值得临床推广和应用。 【关键词】气虚血瘀型;胸痹心痛;养阴益气活血汤;疗效 [Abstract] Objective To explore the clinical effect of Yangyin Yiqi Huoxue Decoction in the treatment of chest pain of qi deficiency and blood stasis type, and analyze its clinical application value. Methods from June 2018 to June 2019, 113 patients with chest arthralgia and heartache of qi deficiency and blood stasis type were selected and divided into observation group of 56 cases (treated with Yangyin Yiqi Huoxue Decoction) and control group of 57 cases (treated with Danhong injection) according to different clinical treatment methods. Results under different treatment conditions, 94.64% of the observation group was better than 78.94% of the control group, and the difference was statistically significant (P < 0.05). The incidence of adverse reactions of nausea, vomiting and slight headache in the observation group was lower than that in the control group (P < 0.05). Conclusion Yangyin Yiqi Huoxue Decoction can effectively improve the clinical symptoms of the patients in the current clinical treatment of chest arthralgia and heartache of qi deficiency and blood stasis type.