张景宇

【摘要】目的 分析和研究冠状动脉粥样硬化性心脏病（简称冠心病）心绞痛采用通心络胶囊与倍他乐克联合治疗的临床效果。方法 选取2013年1月～2014年4月冠心病心绞痛患者94例，将其按数字随机表法分为观察组47例与对照组47例。对照组患者给予倍他乐克治疗；观察组患者在对照组治疗基础上加用通心络胶囊治疗，将两组患者治疗4周后的疗效及不良反应发生情况进行比较。结果 两组患者疗效相比较：观察组高于对照组（P<0.05）。两组患者治疗期间不良反应发生率相比较无明显差异（P>0.05）。结论 将通心络胶囊与倍他乐克联合应用于冠心病心绞痛患者治疗中，能够有效改善患者心功能，降低心肌耗氧量，并且患者在治疗期间不良反应症状较轻微，安全可靠，对提高治疗效果及改善患者预后均有重要作用。

【关键词】冠状动脉粥样硬化性心脏病；心绞痛；通心络胶囊；倍他乐克

【中图分类号】R541.4 【文献标识码】A

Effect of coronary atherosclerotic heart disease

and angina pectoris with Tongxinluo capsule

and metoprolol application value of G combined therapy

ZHANG Jing-yu

（Henan city county peoples Hospital Department of Cardiology God extension，

HeNan TuoCheng 476200，China）

【Abstract】Objective Analysis and Study on angina pectoris of coronary heart disease with the clinicaleffect of Tongxinluo capsule combined with betaloc treatment. Method From 2013 January to 2014 April， 94 patients with angina pectoris， according to itsdigital randomly divided into the observation group 47 cases and control group of 47 cases. Patients in control group were treated with betaloc in the treatment； the observation group patients treated in the control group treated with Tongxinluo capsule， two patients in treatment group curative effect and adverse reaction of 4 weeks after the occurrence of comparison. Result The treatment effect of the two groups of patients： comparison of observation groupwas higher than the control group P<0.05. Adverse reactions during treatment in the patients of two groups had no significant difference compare the incidence of P>0.05. Conclusion The Tongxinluo capsule combined with betaloc applied in treatment of patients withangina pectoris of coronary heart disease patients， can obviously improve heart function， reduce myocardial oxygen consumption， and during the treatment in patients with adverse reactions were mild， safe and reliable， and improve the treatment effect of patients with pre have important role.

【Key words】Coronary heart disease； angina； Tongxinluo capsule； Betaloc

冠状动脉粥样硬化性心脏病（简称冠心病）是指动脉粥样硬化引发冠状态动脉血管管腔狭窄或阻塞，致使心肌缺氧、缺血或坏死而导致的心脏疾病[1]，按临床症状表现不同将其分为五种类型[2]：隐匿性冠心病；心绞痛；心肌梗死；缺血性心脏病；猝死等。患者临床症状主要表现为心前区绞痛或压榨痛，常因情绪激动、体力活动而引发，临床死亡率较高，严重影响患者生命与健康，为了探讨治疗心绞痛有效途径，本文选取冠心病心绞痛患者47例，采用倍他乐克与通心络胶囊治疗，疗效较明显，现汇报如下。

1 资料与方法