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目的:探究阳虚血瘀型冠心病采用中西医结合治疗的临床疗效和应用价值。方法:选取阳虚血瘀型冠心病患者48例,根据数字表法分为对照组和观察组各24例,对照组患者均采用常规西药治疗,观察组患者均采用中西医结合治疗,即温阳活血通络中药汤剂联合西医治疗,观察比较两组患者治疗效果。结果:观察组患者治疗总有效率为91.7%,对照组患者治疗总有效率为70.8%,差异具有统计学意义(P<0.05)。治疗后对照组和观察组患者总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)以及高密度脂蛋白胆固醇(HDL-C)等各项血脂指标水平与治疗前比较,差异具有统计学意义(P<0.05),且组间比较,差异具有统计学意义(P<0.05)。结论:阳虚血瘀型冠心病采用中西医结合治疗,可有效缓解患者临床症状,改善患者血脂水平,治疗效果良好。
Objective: To investigate the clinical efficacy and clinical value of treating asthenia and blood stasis type of coronary heart disease with integrated traditional Chinese and western medicine. Methods: Forty-eight patients with coronary heart disease of Yang deficiency and blood stasis type were divided into control group and observation group according to the digital table method, 24 patients in the control group were treated by conventional western medicine. The patients in the observation group were treated with combination of TCM and WM, Yang Huoxuetongluo decoction combined with Western medicine treatment, observation and treatment of two groups were compared. Results: The total effective rate was 91.7% in the observation group and 70.8% in the control group, the difference was statistically significant (P <0.05). After treatment, the levels of total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol (HDL-C) Before comparison, the difference was statistically significant (P <0.05), and the difference between groups was statistically significant (P <0.05). Conclusion: Yang deficiency and blood stasis type of coronary heart disease treated with integrated traditional Chinese and western medicine can effectively alleviate the clinical symptoms and improve the level of blood lipid in patients with good therapeutic effect.