李窍

【摘要】 目的：探讨血府逐瘀汤加减治疗稳定型心绞痛的临床效果。方法：选取2018年1月-2019年8月笔者所在医院收治的稳定型心绞痛患者100例，随机分为两组，各50例。对照组行常规西医治疗，观察组在常规西医治疗基础上加用血府逐瘀汤，评价两组临床效果。结果：观察组总有效率为96.00%，显著高于对照组的80.00%，差异有统计学意义（P<0.05）;治疗后，观察组日常生活能力评分显著高于对照组，差异有统计学意义（P<0.05）。结论：针对稳定型心绞痛患者采用血府逐瘀汤加减治疗可促使临床症状缓解，提高生活质量，应用价值较高。

【关键词】 血府逐瘀汤 冠心病 稳定型心绞痛 临床效果

doi：10.14033/j.cnki.cfmr.2020.17.048 文献标识码 B 文章编号 1674-6805（2020）17-0-02

Clinical Effect of Modified Xuefu Zhuyu Decoction on Stable Angina Pectoris/LI Qiao. //Chinese and Foreign Medical Research， 2020， 18（17）： -115

[Abstract] Objective： To explore the clinical effect of modified Xuefu Zhuyu Decoction in the treatment of stable angina pectoris. Method： A total of 100 patients with stable angina pectoris admitted to our hospital from January 2018 to August 2019 were randomly divided into two groups， 50 cases in each group. The control group was treated with conventional western medicine， and the observation group was treated with Xuefu Zhuyu Decoction on the basis of conventional western medicine. The clinical efficacy of the two groups were evaluated. Result： The total effective rate of the observation group was 96.00%， which was significantly higher than 80.00% of the control group， and the difference was statistically significant （P<0.05）. After treatment， the daily life ability score of the observation group was significantly higher than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion： In the treatment of stable angina pectoris， modified Xuefu Zhuyu Decoction can relieve clinical symptoms， improve the quality of life， and has high application value.

[Key words] Xuefu Zhuyu Decoction Coronary heart disease Stable angina pectoris Clinical effect

First-authors address： Wuchuan Jimin Youfu Hospital， Wuchuan 524500， China

冠心病是由冠狀动脉粥样硬化使血管腔狭窄，和/或因冠状动脉功能性改变（痉挛）致心肌缺血缺氧或坏死而引起的心脏病。临床常见分型为心绞痛和心肌梗死。心绞痛中以稳定型心绞痛较常见，指在冠状动脉固定性严重狭窄的病理基础上，由于心脏前后负荷增加引起心肌急剧的、暂时的缺血缺氧的综合征。稳定型心绞痛临床特点：前胸压榨样疼痛或憋闷感，伴气促乏力，呈阵发性发作，疼痛主要位于胸骨后，可放射至心前区和左上肢尺侧。中医将其归为“胸痹”“心悸”，严重威胁患者的生命安全[1-2]。发作期以胸痛、胸闷、心慌为主，缓解期多伴随疲倦乏力、心神不安、烦躁易怒、失眠多梦等症状，使患者生活质量显著下降。常规西医治疗以扩张冠状动脉、改善心肌血供、降低心肌耗氧、抗凝、稳定斑块、减轻心脏负荷为主[3]。研究表明，针对稳定型心绞痛患者以活血化瘀、宣痹通阳、芳香温通、益气养阴为治疗原则，能够取得良好效果[4-5]。为此，本文对血府逐瘀汤加减治疗稳定型心绞痛的临床效果予以报道。……