益脉合剂联合心脏康复治疗冠心病临床观察OA
Clinical Observation of Yimai Mixture Combined with Cardiac Rehabilitation in the Treatment of Coronary Heart Disease
目的 观察益脉合剂联合心脏康复治疗冠心病的临床疗效及安全性.方法 患者100例采用随机数字表法分为观察组与对照组各50例.两组均进行标准的心脏康复治疗,观察组在此基础上加用益脉合剂口服治疗,通过比较两组的中医证候评分、心绞痛评分、健康相关体适能(包括人体成分、有氧运动能力、肌力及肌耐力、平衡功能、柔韧性)及安全性指标等多维度评估干预效果.结果 治疗4周后,观察组总有效率为94.00%,明显高于对照组的84.00%(P<0.05).观察组中医证候评分低于对照组(P<0.05);观察组6分钟步行距离高于对照组(P<0.05);观察组心绞痛评分高于对照组(P<0.05);观察组的体适能指标水平(30 s椅子站立试验、30 s伸曲试验、座椅前伸测试、抓背测试、起立行走测试)较对照组明显提升(P<0.05).治疗期间,两组患者实验室检查指标均未出现异常,且无患者反馈身体不适而中途暂停治疗.结论 益脉合剂联合心脏康复指导治疗冠心病有更好的疗效.
Objective:To observe the clinical efficacy and safety of Yimai Mixture combined with cardiac reha-bilitation in the treatment of coronary heart disease(CHD).Methods:A total of 100 CHD patients were admitted selected and divided into the observation group and the control group by random number table method,with 50 cases in each group.Both groups received standard cardiac rehabilitation treatment,and the observation group was additionally given oral Yimai Mixture on this basis.The intervention effect was evaluated from multiple dimensions by comparing TCM syndrome score,angina pectoris score,health-related physical fitness(including body composi-tion,aerobic capacity,muscle strength,endurance,balance function and flexibility)and safety indicators between the two groups.Results:After 4 weeks of treatment,the total effective rate of the observation group(94.00%)was significantly higher than that of the control group(P<0.05).The TCM syndrome score of the observation group was lower than that of the control group(P<0.05);the 6-minute walking distance of the observation group was lon-ger than that of the control group(P<0.05);the angina pectoris score of the observation group was higher than that of the control group(P<0.05);the physical fitness indicators(30-second chair stand test,30-second flexion and extension test,sit-and-reach test,back scratch test,timed up-and-go test)of the observation group were im-proved compared with those of the control group(P<0.05).During the treatment,no abnormal laboratory indica-tors were found in both groups,and no patient suspended treatment due to physical discomfort.Conclusion:Yimai Mixture combined with cardiac rehabilitation has a better efficacy in the treatment of CHD.
黎建;陈胜;岳嵘;龚显田
四川省眉山市中医医院,四川 眉山 620010四川省眉山市中医医院,四川 眉山 620010四川省眉山市中医医院,四川 眉山 620010四川省眉山市中医医院,四川 眉山 620010
医药卫生
冠心病益脉合剂心肾同治临床疗效中医证候评分
Coronary heart diseaseYimai mixtureCombined treatment of heart and kidneyClinical efficacyTCM syndrome score
《中国中医急症》 2026 (4)
443-446,4
眉山市指导性科技计划项目(2023KJZD145)
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