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目的:观察益气解毒汤联合西药治疗对糖尿病合并冠心病患者CRP、HCY水平的影响。方法:选择64例糖尿病合并冠心病患者,随机分成对照组和实验组两组,其中对照组患者采用常规治疗(包括扩张冠状动脉药物、降糖药等治疗),实验组患者采用益气解毒汤+西药联合治疗,比较两组患者的临床疗效及HCY、CRP水平变化情况。结果:经过治疗,实验组总有效率(93.75%)显著高于对照组(75.0%),且糖化血红蛋白、HCY水平显著低于对照组,差异具有统计学意义(P<0.05);两组患者CRP水平均无显著变化,且未出现不良反应,差异无统计学意义(P>0.05)。结论:益气解毒汤联合西药治疗糖尿病合并冠心病疗效颇佳,且不良反应少,值得临床推广应用。
Objective: To observe the effect of Yiqi Jiedu Decoction combined with western medicine on CRP and HCY in patients with diabetes complicated with coronary heart disease. Methods: Sixty-four patients with diabetes mellitus and coronary heart disease were randomly divided into two groups: control group and experimental group. The control group received routine treatment (including dilated coronary drugs, hypoglycemic agents, etc.). Patients in the experimental group were treated with Yiqi Jiedu Decoction + Western medicine combined treatment, comparing the clinical efficacy of two groups of patients and HCY, CRP level changes. Results: After treatment, the total effective rate (93.75%) in the experimental group was significantly higher than that in the control group (75.0%), and the levels of HbA1c and HCY in the experimental group were significantly lower than those in the control group (P <0.05) CRP levels did not change significantly, and no adverse reactions, the difference was not statistically significant (P> 0.05). Conclusion: Yiqi Jiedu Decoction combined with Western medicine treatment of diabetic patients with coronary heart disease is quite good, and less adverse reactions, it is worthy of clinical application.