1. 上海中医药大学附属市中医医院老年医学科,上海,200071
2. 上海中医药大学附属普陀医院心血管内科,上海,200062
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武前福, 王东毅, 阎国良, 等. 益气通络方联合常规西药治疗冠状动脉慢血流症的临床观察[J]. 上海中医药杂志, 2016,50(11):38-41.
WU Qian-fu, WANG Dong-yi, YAN Guo-liang, et al. Clinical observation of Yiqi Tongluo Recipe combined with routine western medicines in the treatment of coronary slow flow phenomenon[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(11):38-41.
武前福, 王东毅, 阎国良, 等. 益气通络方联合常规西药治疗冠状动脉慢血流症的临床观察[J]. 上海中医药杂志, 2016,50(11):38-41. DOI:
WU Qian-fu, WANG Dong-yi, YAN Guo-liang, et al. Clinical observation of Yiqi Tongluo Recipe combined with routine western medicines in the treatment of coronary slow flow phenomenon[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(11):38-41. DOI:
目的:观察益气通络方联合常规西药治疗冠状动脉慢血流症的临床疗效。 方法:将59例冠状动脉慢血流症患者随机分成治疗组(30例)和对照组(29例)。对照组予常规西药治疗,治疗组在对照组治疗措施基础上加服益气通络方。两组疗程均为3个月,观察临床疗效及心电图疗效,比较超敏C反应蛋白(hs-CRP)、肱动脉內皮依赖性血管舒张功能(FMD)、平板运动试验阳性率(TET)、冠状动脉血流帧计数(CTFC)的变化情况。 结果:①治疗组、对照组临床总有效率分别为93.33%和75.86%;组间临床疗效比较,差异有统计学意义,治疗组优于对照组(P<0.05)。②治疗组、对照组心电图总有效率分别为90.00%和72.41%;组间心电图疗效比较,差异有统计学意义,治疗组优于对照组(P<0.05)。③组间治疗后比较,hs-CRP、FMD、CTFC及TET水平差异均有统计学意义,治疗组显著优于对照组(P<0.05)。 结论:益气通络方联合常规西药治疗冠状动脉慢血流症的疗效满意。
Objective:To observe the clinical efficacy of Yiqi Tongluo Recipe combined with routine western medicines on coronary slow flow phenomenon. MethodsFifty-nine patients with coronary slow flow phenomenon were randomly divided into the treatment group (30 cases) and control group(29 cases). The control group was treated with routine western medicines,while the treatment group was treated with Yiqi Tongluo Recipe additionally based on the treatment for the control group. The therapeutic course of both groups was three months. The clinical efficacy and electrocardiogram were observed,and the changes of high sensitive C reactive protein (hs-CRP),flow-mediated dilation(FMD),positive rate of treadmill exercise test (TET),correct TIMI frame count(CTFC)were compared. Results:①The total effective rate of the treatment group and the control group were 93.33% and 75.86% respectively. There was statistically significant difference on the clinical efficacy between the two groups,and the effect of the treatment group was better than that of the control group(P<0.05). ②The total effective rate of electrocardiogram in the treatment group and the control group were 90.00% and 72.41% respectively. There was statistically significant difference on the electrocardiogram efficacy between the two groups,and the effect of the treatment group was better than that of the control group(P<0.05). ③After treatment,there were statistically significant differences on the level of hs-CRP,FMD,CTFC and TET between the two groups,and the effects of the treatment group were significantly better than those of the control group(P<0.05). Conclusion:Yiqi Tongluo Recipe combined with routine western medicines shows good effects in the treatment of coronary slow flow phenomenon.
冠状动脉慢血流症益气通络心肌微循环血管内皮保护
coronary slow flow phenomenonYiqi Tongluo Recipemyocardial microcirculationvascular endothelial protection
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