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目的:研究并探讨中西医结合治疗冠心病患者的临床疗效及对患者生活质量的影响,从而提高医院对冠心病患者的治疗水平,改善患者的生活质量。方法:依据纳入排除标准从医院2013年1月—2015年1月收治的冠心病患者中随机抽取160例作为研究对象,按照电脑所产生的随机数列分为两组,对照组采用西药进行常规治疗,研究组在采用西药治疗的基础上加用中药汤剂进行治疗。两组患者在经过4周的治疗后,比较两组的治疗效果,观察治疗前后血液流变学和患者生活质量的改变情况。结果:研究组患者采用中西医结合的方法进行治疗后,患者血液的血浆黏度、纤维蛋白原、红细胞压积分别为(1.69±0.12)m Pa/s、(4.02±0.28)%、(41.98±3.32)%;对照组采用常规西药治疗后,患者血液的血浆黏度、纤维蛋白原、红细胞压积分别为(1.76±0.14)m Pa/s、(4.14±0.32)%、(44.62±3.12)%;两组差距较明显,差异具有统计学意义(P﹤0.05)。研究组总有效率为96.25%,对照组治疗总有效率为87.50%,研究组总有效率显著高于对照组,两组差距较明显,差异具有统计学意义(P﹤0.05)。结论:对于冠心病患者,在采用西药治疗的基础上加用中药汤剂,可以有效改善患者的临床症状,患者的血液流变学指标变化更加明显,具有较好的临床疗效,对提高患者的生活质量具有积极意义。
Objective: To study and discuss the clinical curative effect of treating patients with coronary heart disease by integrated traditional Chinese and western medicine and its influence on quality of life of patients, so as to improve the treatment level of patients with coronary heart disease and improve the quality of life of patients. Methods: 160 patients with coronary heart disease admitted from January 2013 to January 2015 in our hospital were randomly divided into two groups according to the random number sequence generated by the computer. The control group was treated routinely with western medicine , The research group in the use of Western medicine based on the use of traditional Chinese medicine decoction for treatment. Two groups of patients after 4 weeks of treatment, the treatment effect was compared between the two groups to observe the changes in hemorheology and quality of life before and after treatment. Results: The plasma viscosity, fibrinogen and hematocrit of the study group were (1.69 ± 0.12) mPa / s, (4.02 ± 0.28)% and (41.98 ± 3.32%). The plasma viscosity, fibrinogen and hematocrit in the control group were (1.76 ± 0.14) m Pa / s, (4.14 ± 0.32)% and (44.62 ± 3.12)%, respectively ; The difference between the two groups was obvious, the difference was statistically significant (P <0.05). The total effective rate was 96.25% in the study group and 87.50% in the control group. The total effective rate in the study group was significantly higher than that in the control group. The difference was statistically significant (P <0.05). Conclusion: For patients with coronary heart disease, adding traditional Chinese medicine decoction on the basis of western medicine can effectively improve the clinical symptoms of patients. The changes of hemorheology indexes of patients are more obvious and have better clinical curative effect, Quality of life has a positive meaning.