论文部分内容阅读
[目的]观察益气化瘀汤联合氯吡格雷及阿司匹林治疗急性心肌梗死疗效。[方法]使用随机平行对照方法,将80例住院患者按就诊顺序号方法随机分为两组。对照组40例氯吡格雷,3片/次,1次/d;阿司匹林,口服3片,次日改为2片,1次/d。治疗组40例益气化瘀汤(黄芪、升麻各20g,麦芽、党参、云苓各15g,白术10g,山楂12g,川芎、莪术、枳实、柴胡、三棱各10g,红花9g),随症加减,1剂/d,水煎200m L,早晚口服;西药治疗同对照组。连续治疗1个月为1疗程。观测临床症状、躯体功能、心理功能、物质生活、社会功能、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效21例,有效17例,无效2例,总有效率95.00%;对照组显效15例,有效14例,无效11例,总有效率72.50%;治疗组疗效优于对照组(P<0.05)。躯体功能、心理功能、物质生活、社会功能评分治疗组优于对照组(P<0.05)。[结论]益气化瘀汤联合氯吡格雷及阿司匹林治疗急性心肌梗死,疗效满意,提升生活质量,值得推广。
[Objective] To observe the curative effect of Yiqi Huayu Decoction combined with clopidogrel and aspirin on acute myocardial infarction. [Methods] Using randomized parallel control method, 80 inpatients were randomly divided into two groups according to the order of visiting doctor. Control group, 40 cases of clopidogrel, 3 tablets / time, 1 / d; aspirin, oral 3 tablets, the next day changed to 2 tablets, 1 time / d. The treatment group 40 cases of Yiqi Huayu Decoction (astragalus, cohosh 20g, malt, Codonopsis, Yunling the 15g, Atractylodes 10g, hawthorn 12g, Chuanxiong, Curcuma, citrus aurantium, Bupleurum, ), With the addition and subtraction, 1 / d, decoction 200m L, morning and evening oral; western medicine treatment with the control group. Continuous treatment for 1 month for a course of treatment. Observation of clinical symptoms, physical function, psychological function, material life, social function, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] 21 cases were effective in the treatment group, 17 cases were effective, 2 cases were ineffective and the total effective rate was 95.00%. In the control group, 15 cases were markedly effective, 14 cases were effective, 11 cases were ineffective, and the total effective rate was 72.50% (P <0.05). Body function, mental function, physical life, social function score treatment group than the control group (P <0.05). [Conclusion] Yiqi Huayu Decoction combined with clopidogrel and aspirin in the treatment of acute myocardial infarction has satisfactory curative effect and quality of life, which deserves promotion.