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目的:观察归芎参芪麦味汤联合西药治疗胸痹的疗效。方法:纳入60例气虚血瘀证胸痹患者,随机分为对照组和治疗组各30例。在内科常规治疗基础上,对照组口服单硝酸异山梨酯片,治疗组在对照组治疗基础上加服益气温阳法方剂归芎参芪麦味汤,2组疗程均为4周,观察比较2组的临床疗效。结果:治疗后,2组症状积分均较治疗前降低,差异均有统计学意义(P<0.05);治疗组症状积分低于对照组,差异有统计学意义(P<0.05)。治疗组的心电图疗效、中医症状疗效总有效率均高于对照组,差异均有统计学意义(P<0.05)。结论:采用归芎参芪麦味汤联合西药治疗气虚血瘀证胸痹患者疗效肯定,可明显缓解患者的症状。
Objective: To observe the curative effect of Xiongqi Maiweitang combined with Western medicine on chest paralysis. Methods: Sixty patients with Qi-deficiency and blood stasis syndrome were included and randomly divided into control group and treatment group with 30 cases each. On the basis of conventional medical treatment, the control group was given isosorbide mononitrate tablets orally, and the treatment group was given Yiqi yanggyang decoction by the control group on the basis of the treatment. The two groups were treated for 4 weeks, 2 groups of clinical efficacy. Results: After treatment, the scores of symptom scores in both groups were significantly lower than those before treatment (P <0.05). The symptom score of the treatment group was lower than that of the control group (P <0.05). The electrocardiogram efficacy and the total effective rate of TCM symptoms in the treatment group were significantly higher than those in the control group (P <0.05). Conclusion: The effect of using Qi and Astragalus Mint soup combined with Western medicine on Qi stagnation and Qi stagnation syndrome patients can certainly alleviate the symptoms of patients.