生脉散合血府逐瘀汤治疗冠心病气阴两虚血瘀证临床观察

目的 观察生脉散合血府逐瘀汤治疗冠心病气阴两虚血瘀证的临床疗效。方法 将冠心病患者60例随机分成治疗组和对照组各30例。对照组给予西药抗血小板聚集、调血脂、强心、扩血管等治疗，治疗组在西药治疗的基础上给予汤剂生脉散合血府逐瘀汤，4周为1个疗程，治疗1个疗程后观察两组患者的临床症状、证候积分、心电图变化、硝酸甘油用量的变化。结果 治疗组在临床症状改善、心电图变化以及中医证候积分、硝酸甘油用量方面的疗效均优于对照组（P<0.05）。结论 生脉散合血府逐瘀汤改善冠心病患者的心绞痛症状和心电图疗效优于单纯西药治疗。

Clinical Observation of Coronary Heart Disease with Qi-Yin Deficiency and Blood Stasis Syndrome by Using Shengmai Powder Combined with Xuefu Zhuyu Decoction

Objective To observe the clinical efficacy of Shengmai Powder combined with Xuefu Zhuyu decoction in treating coronary heart disease with Qi-Yin deficiency and blood stasis syndrome. Methods Sixty coronary heart disease patients were randomly divided into treatment group (30 cases) and control group (30 cases). Patients in the control group were treated with western medicine of anti-platelet aggregation, regulating blood lipid, cardiotonic and vasodilator. Patients in the treatment group were given Shengmai powder combined with Xuefu Zhuyu decoction besides western medicine, 4 weeks for a course of treatment. Clinical symptoms, syndrome integral, ECG changes, nitroglycerin consumption changes were observed in both two groups after a course of treatment. Results The curative effects of clinical efficacy, ECG changes, syndrome integral and the nitroglycerin consumption in treatment group were better than those in control group (P<0.05). Conclusion Shengmai powder combined with Xuefu Zhuyu decoction can improve the symptoms of angina pectoris and ECG in patients with coronary heart disease.