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目的:观察分析温针灸配伍中药茶饮联合辛伐他汀治疗冠心病合并高脂血症患者的临床疗效。方法:将100例冠心病高脂血症患者随机分为对照组与观察组各50例,对照组患者采用辛伐他汀治疗,观察组患者采用辛伐他汀+温针灸配伍中药茶饮治疗,观察比较两组患者治疗前后血脂水平、心功能指标及冠心病中医证候积分。结果:治疗前,两组患者的血脂水平、心功能指标、冠心病中医证候积分比较无明显差异(P>0.05);治疗后,观察组患者的TC、TG、LDL-C水平下降幅度明显,HDL-C水平上升幅度明显(P<0.05);心功能指标中,观察组患者的LVSd、LVDd水平下降幅度明显,LVSF、LCEF水平上升幅度明显(P<0.05);两组患者冠心病中医证候积分明显下降,且观察组患者下降幅度更明显(P<0.05)。结论:温针灸配伍中药茶饮+辛伐他汀治疗冠心病合并高脂血症效果明显,有助于改善患者的血脂水平与心功能指标,值得临床推广应用。
OBJECTIVE: To observe and analyze the clinical effects of warm acupuncture and moxibustion combined with herbal tea and simvastatin on patients with coronary heart disease complicated with hyperlipidemia. Methods: 100 patients with coronary heart disease and hyperlipidemia were randomly divided into the control group and the observation group, 50 cases in the control group were treated with simvastatin, the observation group was treated with simvastatin + warm acupuncture and herbal tea treatment, observed Blood lipid levels, cardiac function and TCM syndrome scores of coronary heart disease before and after treatment were compared between the two groups. Results: Before treatment, there was no significant difference between the two groups in the level of blood lipid, cardiac function index and TCM syndrome score of coronary heart disease (P> 0.05). After treatment, the levels of TC, TG and LDL-C in the observation group decreased significantly (P <0.05). The LVSd and LVDd levels in the observation group decreased significantly and the levels of LVSF and LCEF increased significantly in the cardiac function index (P <0.05). There was no significant difference between the two groups Syndrome points decreased significantly, and the observation group decreased more significantly (P <0.05). Conclusion: Warming acupuncture combined with traditional Chinese medicine tea + simvastatin treatment of coronary heart disease with hyperlipidemia effect is obvious, helps to improve the patient’s blood lipid levels and cardiac function, it is worthy of clinical promotion and application.