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目的:观察应用益气活血通脉汤联合西药治疗老年冠心病心绞痛患者的临床效果。方法:选择92例心血瘀阻型老年冠心病心绞痛患者为研究对象,以随机数字表法分为观察组与对照组各46例,对照组应用常规疗法治疗,观察组在对照组治疗基础上加益气活血通脉汤治疗,对2组患者的治疗效果及血脂指标[甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)]进行观察。结果:总有效率观察组为95.65%,对照组为82.61%,2组比较,差异有统计学意义(P<0.01)。治疗后,2组TC、TG、LDL-C均较治疗前降低(P<0.05),HDL-C均较治疗前升高(P<0.05);观察组各指标值与对照组比较,差异均有统计学意义(P<0.05)。结论:采用益气活血通脉汤联合西药治疗老年冠心病心绞痛患者效果显著,可有效控制病情。
Objective: To observe the clinical effect of Yiqi Huoxue Tongmai Decoction combined with western medicine in treating elderly patients with angina pectoris. Methods: Ninety-two elderly patients with coronary heart disease with heart-blood stasis were selected as study subjects. The patients in observation group and control group were randomly divided into observation group (46 cases) and control group (46 cases). The control group was treated with conventional therapy. The observation group Yiqi Huoxue Tongmai Tang treatment, the two groups of patients with treatment and blood lipid indicators (triglyceride (TG), total cholesterol (TC, LDL-C, high-density lipoprotein cholesterol -C)] observed. Results: The total effective rate was 95.65% in the observation group and 82.61% in the control group. There was significant difference between the two groups (P <0.01). After treatment, TC, TG and LDL-C in two groups were lower than those before treatment (P <0.05) and HDL-C were higher than those before treatment (P <0.05) There was statistical significance (P <0.05). Conclusion: The effect of Yiqi Huoxue Tongmai Decoction combined with Western medicine in the treatment of elderly patients with coronary heart disease angina pectoris is remarkable, which can effectively control the disease.