舒胸益气汤联合针灸治疗对冠心病心绞痛（气虚血瘀证）患者的临床疗效

袁泉英 甘翔 鲍火庚 黎梓旺 刘希茜

【摘要】 目的：探讨舒胸益气汤联合针灸治疗对冠心病心绞痛（气虚血瘀证）患者的临床疗效。方法：选取2020年1-9月于本院接受诊疗的80例冠心病心绞痛（气虚血瘀证）患者，并依据随机数字表法分为两组，每组40例。对照组采取常规西药治疗，研究组则在对照组基础上采取舒胸益气汤联合针灸治療。比较两组治疗前后血流变指标、血脂水平以及临床疗效。结果：两组治疗前血流变指标比较，差异均无统计学意义（P>0.05）;两组治疗后血流变指标（全血黏度、血浆黏度以及纤维蛋白原水平）均低于治疗前，且研究组均低于对照组，差异均有统计学意义（P<0.05）。两组治疗前血脂水平比较，差异无统计学意义（P>0.05）;两组治疗后血脂水平均优于治疗前，研究组治疗后甘油三酯低于对照组，而高密度脂蛋白含量高于对照组，差异均有统计学意义（P<0.05）。研究组总有效率高于对照组，差异有统计学意义（P<0.05）。结论：舒胸益气汤联合针灸治疗冠心病心绞痛（气虚血瘀证）患者能较好改善冠状动脉循环，改善机体新陈代谢，值得在临床治疗中推广应用。

【关键词】 舒胸益气汤 针灸治疗 冠心病 心绞痛

Clinical Study of Shuxiong Yiqi Decoction Combined with Acupuncture Treatment on Patients with Coronary Heart Disease Angina Pectoris （Qi Deficiency and Blood Stasis Syndrome）/YUAN Quanying， GAN Xiang， BAO Huogeng， LI Ziwang， LIU Xixi. //Medical Innovation of China， 2021， 18（13）： -154

[Abstract] Objective： To explore the clinical efficacy of Shuxiong Yiqi Decoction combined with acupuncture on patients with coronary heart disease angina pectoris （Qi deficiency and blood stasis syndrome）. Method： A total of 80 patients with coronary heart disease angina pectoris （Qi deficiency and blood stasis syndrome） who diagnosed and treated in our hospital from January to September 2020 were divided into two groups according to the number table method， 40 cases in each group. The control group was treated with conventional western medicine， the study group was given Shuxiong Yiqi Decoction combined with acupuncture treatment on the basis of the control group. The hemorheological indexes and blood lipid levels and of two groups before and after treatment were compared， and the clinical efficacy of two groups were compared. Result： Before treatment， there were no significant differences in hemorheological indexes between two groups （P>0.05）. After treatment， the hemorheological indexes （average whole blood viscosity， plasma viscosity and fibrinogen levels） in two groups were lower than those of before treatment， the hemorheological indexes in the study group were lower than those of the control group， and the differences were statistically significant （P<0.05）. Before treatment， there was no significant difference in blood lipid level between the two groups （P>0.05）. The blood lipid level of the two groups were superior than those before treatment， triglyceride in the study group was lower than that of the control group， while the high density lipoprotein content was higher than that of the control group， with statistical significance （P<0.05）. The total effective rate of the study group was higher than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion： Shuxiong Yiqi Decoction Combined with acupuncture in the treatment of angina pectoris of coronary heart disease （Qi deficiency and blood stasis syndrome） can better improve coronary artery circulation and body metabolism， which is worthy of promotion and application in clinical treatment.

[Key words] Shuxiong Yiqi Decoction Acupuncture treatment Coronary heart disease Angina pectoris

First-authors address： Yichun Hospital of Traditional Chinese Medicine， Yichun 336000， China

doi：10.3969/j.issn.1674-4985.2021.13.037

据一项系统性分析显示，冠状动脉粥样硬化性心脏病已成为2020年导致全球死亡的首位原因，该病是动脉粥样硬化导致全身器官病变的常见类型[1-2]。冠心病心绞痛（气虚血瘀证）患者的临床表现多以心肌细胞缺氧缺血等为主，多表现为胸痛胸闷、气短等，因其具有起病快、病情变化多端等特点，严重影响了患者的生活质量[3-4]。目前治疗冠心病心绞痛的常用药物还是以西药为主，如硝酸甘油、阿司匹林、钙离子拮抗剂等，虽能缓解患者的症状，但整体治疗效果较差。在传统中医看来，冠心病心绞痛（气虚血瘀证）……