孙庆华

【摘要】目的：研究瓜蒌薤白半夏汤合温胆汤治疗冠心病心绞痛的临床效果。方法：选取我院在2018年11月-2019年10月期间收治的81例冠心病心绞痛患者为研究对象，随机分为A、B两组，各有40例和41例。A组行常规西医治疗，B组在A组的基础上行瓜蒌薤白半夏汤合温胆汤治疗，观察疗效。结果：治疗后B组患者心绞痛频率及心绞痛持续时间都显著低于A组患者，数据差异显著（P<0.05）。结论：瓜蒌薤白半夏汤合温胆汤治疗冠心病心绞痛的临床效果显著，能够显著降低患者的心绞痛频率和持续时间，值得推广应用。

【关键词】瓜蒌薤白半夏汤合温胆汤;冠心病;心绞痛

【中图分类号】R259【文献标识码】B    【文章编号】1002-8714（2020）07-0079-02

【Abstract】 Objective To study the clinical effect of Guabaibaibanxia decoction combined with Wendan decoction in the treatment of coronary heart disease and angina pectoris. Methods Eighty-one patients with coronary heart disease and angina pectoris who were treated in our hospital from November 2018 to October 2019 were selected as the research subjects. They were randomly divided into two groups， A and B， with 40 and 41 patients each. Group A received conventional western medicine treatment， and group B received Guabaibaibanxia decoction and Wendan decoction on the basis of group A， and observed the effect. Results The frequency of angina pectoris and the duration of angina pectoris in group B were significantly lower than those in group A after treatment， and the data were significantly different （P <0.05）. Conclusion Guabaibaibanxia decoction and Wendan decoction have significant clinical effects on coronary heart disease and angina pectoris， which can significantly reduce the frequency and duration of angina pectoris in patients， which is worthy of popularization and application.

【Keywords】Guabai Baibanxia Decoction and Wendan Decoction; coronary heart disease; angina pectoris

冠心病主要致病原因為冠状动脉血管的硬化导致的血管堵塞和狭窄，从而出现心肌组织缺氧和缺血性坏死，该疾病最为主要的临床表现为胸部剧烈疼痛[1]。现如今在众多不良饮食、作息习惯下冠心病的发病率呈现出逐年上涨的趋势。目前临床上对于该疾病的治疗通常采用西药治疗，但是具有不少的不良反应，而如今中药在该疾病的治疗中有了显著进展。以下本文将针对瓜蒌薤白半夏汤合温胆汤治疗冠心病心绞痛的临床效果进行研究，具体操作如下。

1 资料与方法

1.1一般资料

选取我院在2018年11月-2019年10月期间收治的81例冠心病心绞痛患者为研究对象，随机将患者分为A、B两组，各有40例和41例。A组男性、女性分别25例和15例，年龄分布42-65岁，平均年龄（53.5±1.8）岁;B组男性、女性分别27例和14例，年龄分布41-64岁，平均年龄（52.5±1.5）岁。两组患者在一般资料中没有显著差异，不具有统计学意义（P>0.05），具有可比性。

1.2方法

A组行常规西医治疗，患者口服阿司匹林肠溶片，每日一次，每次300mg，同时给予患者硝酸甘油注射液静脉注射，5mg消酸甘油溶于150ml 0.9%的氯化钠溶液中，每日一次，治疗4周[2]。