114nchang,Gansu737100Zlary中西医结合与祖国医学血府逐瘀汤联合瓜萎白半夏汤治疗冠心病心绞痛的疗效及对血脂情况的影响赵俊（金昌市人民医院，甘肃金昌737100）【摘要】目的探讨应用血府逐瘀汤联合瓜萎蕴白半夏汤治疗冠心病心绞痛的效果及对血脂情况的影响。方法将金昌市中西医结合医院2019年7月一2021年7月收治的82例冠心病心绞痛患者纳入研究，按随机数字表法分为对照组和观察组，每组41例。对照组采用血府逐汤治疗，观察组采用血府逐瘀汤联合瓜萎蕴白半夏汤治疗，比较2组心绞痛发作情况、心绞痛治疗效果、C一反应蛋白(CRP)变化情况及血脂变化情况。结果与对照组比,治疗后观察组心绞痛持续时间和发作频率均更低(P<0.05)。观察组心绞痛治疗总有效率为97.56%,高于对照组的78.05%(P<0.05)。与对照组比,治疗后观察组CRP水平更低(P<0.05)。与对照组比,治疗后观察组高密度脂蛋白胆固醇(HDL-C)水平更高，甘油三酯(TG)、血脂总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平更低(P<0.05)。结论应用血府逐瘀汤联合瓜萎蕴白半夏汤治疗冠心病心绞痛能改善患者的血脂情况，效果理想。【关键词】冠心病心绞痛；瓜萎蕉白半夏汤；血府逐瘀汤；血脂EffectofXuefuZhuyudecoctioncombinedwithgualouXiebaiBanxiadecoctiononanginapectorisofcoronheartdiseaseanditseffectonbloodlipidgratedHospitalofTraditionalChineseandWesternMedicine,JihaoJun.TheJinchangIntegratedHospitalofTraditionalChinese[Abstract]ObjectiveToinvestigatetheeffectofXuefuZhuyuDecoctioncombinedwithGualouXiebaiBanxiaDecoctiononanginapectorisofcoronaryheartdiseaseanditseffectonbloodlipid.Methods82patientswithcoronaryheartdiseaseandanginapectoristreatedinJinchangintegratedtraditionalChineseandWesternmedicinehospitalfromJuly2019toJuly2021weretakenastheresearchobjects.Theywererandomlydividedintocontrolgroupandobservationgroup,with41casesineachgroup.ThecontrolgroupwastreatedwithXuefuZhuyuDecoction,andtheobservationgroupwastreatedwithXuefuZhuyuDecoctioncombinedwithGualouXiebaiBanxiadecoction.Theattackofanginapectoris,thetherapeuticeffectofanginapectoris,thechangeofC-reactiveprotein(CRP)andthechangeofbloodlipidwerecomparedbetweenthetwogroups.ResultsComparedwiththecontrolgroup,thedurationandfrequencyofanginapectorisintheo...
