黄连温胆汤加味治疗冠心病痰热瘀阻证26例

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1、黄连温胆汤加味治疗冠心病痰热瘀阻证26例【摘要】采用黄连温胆汤加味治疗冠心病痰热瘀阻型26例(治疗组)，并与西药基础治疗的26例(对照组)进行对照。结果治疗组总有效率为92．3％，对照组总有效率为53．8％，两组比较，差异有统计学意义(P<0．05)。�【关键词】黄连温胆汤加味；冠心病；痰热瘀阻型��26casesoftreatingcoronaryteartdiseasecausedbyphlegm-heatstasisinchannelswithhuanglianwendanjiaweidecoctionYINLi-ping,DINGXing.Jiangs

2、uProvinceHospitalofIntegratedTraditionalChineseandWesternMedicine,Nanjing210028,NanjingTechnicalCollegeOfSpecialEducation,Nanjing210038，China�【Abstract】Tocomparisonclinicalobservationonhuanglianwendanjiaweidecoctionfortreatmentof26casesofcoronaryheartdiseaseaccompanyingwithhyperlipa

3、emiainthegroupofphlegm-heatandbloodstasis(treatmentgroup)withclinicalobservationon6黄连温胆汤加味治疗冠心病痰热瘀阻证26例【摘要】采用黄连温胆汤加味治疗冠心病痰热瘀阻型26例(治疗组)，并与西药基础治疗的26例(对照组)进行对照。结果治疗组总有效率为92．3％，对照组总有效率为53．8％，两组比较，差异有统计学意义(P<0．05)。�【关键词】黄连温胆汤加味；冠心病；痰热瘀阻型��26casesoftreatingcoronaryteartdiseasecausedbyphle

4、gm-heatstasisinchannelswithhuanglianwendanjiaweidecoctionYINLi-ping,DINGXing.JiangsuProvinceHospitalofIntegratedTraditionalChineseandWesternMedicine,Nanjing210028,NanjingTechnicalCollegeOfSpecialEducation,Nanjing210038，China�【Abstract】Tocomparisonclinicalobservationonhuanglianwendan

5、jiaweidecoctionfortreatmentof26casesofcoronaryheartdiseaseaccompanyingwithhyperlipaemiainthegroupofphlegm-heatandbloodstasis(treatmentgroup)withclinicalobservationon6westernmedicinefortreatmentofthesametype26cases(controlgroup),theresultshowsthatthetotaleffectiverateoftreatmentgroup

6、is92．3%,andthetotaleffectiverateofcontrolgroupis53．8％.Thereismarkeddifferencebetweenthetreatmentgroupwithcontrolgroup(P<0．05).�【Keywords】Huanglianwendanjiaweidecoction;Coronaryheartdisease;Phlegm-heatstasisinchannels�冠心病属于中医“胸痹心痛”范畴，采用清热化痰、活血祛瘀为治疗法则，以黄连温胆汤加味方治疗痰热瘀阻型冠心病26例，取得较好疗效，现小结

7、如下。�1临床资料�1．1病例选择及分组选取江苏省中西医结合医院住院患者，根据国际心脏学会和协会及世界卫生组织临床命名标注化联合专题组报告会《缺血性心脏病的命名及诊断标准》[1]，诊断为冠心病的患者，并参照《中药新药临床研究指导原则》以及根据《中医病证诊断疗效标准》[2]中符合中医辨证痰热瘀阻型冠心病患者共52例。治疗组26例，对照组26例，两组患者性别、年龄、并发症方面无显著性意义。� 61．2方剂药物选择及治疗方法①药物组成：黄连3g，陈皮9g，半夏10g，枳实10g，竹茹10g，茯苓15g，川楝子10g，郁金15g。水500ml浸泡1h，温火煎半小时，取

8、250ml煎服或院内常规煎服；②治疗组