人参养荣汤合桃红四物汤联合常规西药治疗冠心病PCI术后心绞痛患者的临床疗效

doi:10.3969/j.issn.1671-7171.2025.07.023

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摘要【目的】探讨人参养荣汤合桃红四物汤联合常规西药治疗冠心病经皮冠状动脉介入治疗(PCI)术后心绞痛患者的临床疗效。【方法】选择2022年8月至2024年12月本院收治的80例冠心病PCI术后心绞痛患者,根据随机数字表法分为观察组和对照组,每组40例。对照组接受常规西药治疗,观察组在对照组基础上给予人参养荣汤合桃红四物汤治疗,比较两组疗效、中医证候积分、心肌损伤标志物[肌酸激酶同工酶(CK-MB)、心肌钙蛋白I(cTnI)、肌酸激酶(CK)]、炎症因子[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)]。【结果】观察组临床总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,两组胸痛、呼吸困难、心悸自汗、倦怠乏力评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组CK-MB、cTnI、CK、IL-6、TNF-α、hs-CRP水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。【结论】人参养荣汤合桃红四物汤联合常规西药治疗冠心病PCI术后心绞痛患者的临床疗效显著,能够有效改善患者心肌损伤情况,降低炎症因子水平。

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	齐彦威

关键词 ：冠心病, 经皮冠状动脉介入治疗, 中西医结合疗法, 治疗结果

Abstract：【Objective】To explore the clinical efficacy of Renshen Yangrong Decoction combined with Taohong Siwu Decoction in combination with conventional western medicine in the treatment of angina pectoris after percutaneous coronary intervention (PCI) in patients with coronary heart disease. 【Methods】A total of 80 patients with angina pectoris after PCI for coronary heart disease admitted to our hospital from August 2022 to December 2024 were selected and divided into an observation group and a control group according to the random number table method, with 40 cases in each group. The control group received conventional western medicine treatment, and the observation group was given Renshen Yangrong Decoction combined with Taohong Siwu Decoction on the basis of the control group. The efficacy, TCM syndrome scores, myocardial injury markers [creatine kinase isoenzyme (CK-MB), cardiac troponin I (cTnI), creatine kinase (CK)], and inflammatory factors [interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), high-sensitivity C-reactive protein (hs-CRP)] were compared between the two groups. 【Results】The total clinical effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). After treatment, the scores of chest pain, dyspnea, palpitations and spontaneous sweating, and fatigue and weakness in both groups were lower than those before treatment, and the observation group was lower than the control group, with statistically significant differences (P<0.05); the levels of CK-MB, cTnI, CK, IL-6, TNF-α, and hs-CRP in both groups were lower than those before treatment, and the observation group was lower than the control group, with statistically significant differences (P<0.05). 【Conclusion】Renshen Yangrong Decoction combined with Taohong Siwu Decoction in combination with conventional western medicine has a significant clinical efficacy in the treatment of patients with angina pectoris after PCI for coronary heart disease, which can effectively improve myocardial injury and reduce the levels of inflammatory factors.

Key words： Coronary Disease Percutaneous Coronary Intervention Integrated Chinese Traditional and Western Medicine Therapy Treatment Outcome

收稿日期: 2025-03-25

中图分类号:

R541.4

引用本文:

齐彦威. 人参养荣汤合桃红四物汤联合常规西药治疗冠心病PCI术后心绞痛患者的临床疗效[J]. 医学临床研究, 2025, 42(7): 1185-1187.
QI Yanwei. Clinical Efficacy of Renshen Yangrong Decoction Combined with Taohong Siwu Decoction in Combination with Conventional Western Medicine in the Treatment of Angina Pectoris after PCI in Patients with Coronary Heart Disease. JOURNAL OF CLINICAL RESEARCH, 2025, 42(7): 1185-1187.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.07.023 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I7/1185

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