傳統(tǒng)醫(yī)學(xué)對(duì)冠心病患者的影論文提綱

　　摘要

　　目的：通過結(jié)合傳統(tǒng)醫(yī)學(xué)與常規(guī)西醫(yī)對(duì)冠心病的治療，探討多種傳統(tǒng)醫(yī)學(xué)在治療冠心病方面的作用。方法：以某三甲醫(yī)院治療的100例冠心病患者為對(duì)象，采用隨機(jī)分配的方式平均分為兩組，其中實(shí)驗(yàn)組采用傳統(tǒng)醫(yī)學(xué)結(jié)合常規(guī)西醫(yī)治療的綜合治療方式，對(duì)照組僅采用常規(guī)西醫(yī)治療。結(jié)果：通過治療效果分析，實(shí)驗(yàn)組中采用傳統(tǒng)醫(yī)學(xué)結(jié)合的綜合治療效果明顯優(yōu)于對(duì)照組，其統(tǒng)計(jì)學(xué)意義明顯（p<0.05）。在對(duì)比冠心病心絞痛的發(fā)病率與持續(xù)時(shí)間方面，采用了結(jié)合傳統(tǒng)醫(yī)學(xué)治療方式的實(shí)驗(yàn)組中呈明顯下降，優(yōu)于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（p<0.05）。結(jié)論：傳統(tǒng)醫(yī)學(xué)中和治療冠心病的效果明顯，與僅采用常規(guī)西醫(yī)治療方式相比，在臨床癥狀與體征改善方面具有明顯的優(yōu)勢(shì)。

　　Abstract

　　Objective: To investigate the therapeutic effect of combination of traditional Chinese and Western medicine in the treatment of coronary heart disease. Methods: a total of 100 cases of patients with coronary heart disease (CHD) in a tertiary hospital and randomly assigned to two groups, 50 cases in each. Control group to jump the routine treatment of Western medicine, study group was treated with traditional Chinese medicine decoction group, on the basis of the control, comparative analysis the therapeutic effect in the two groups. Results: the total efficiency of the treatment group was significantly higher than that of the control group, the difference is statistically significant (P < 0.05). After the treatment of angina pectoris attack frequency and duration of seizures were significantly decreased, and the treatment group decreased significantly than those in control group, the difference is statistically significant (P < 0.05). Conclusion: the combination of traditional Chinese and Western medicine in the treatment of coronary heart disease is effective, can effectively improve the clinical symptoms and signs of patients, the treatment effect is superior to simple Western conventional treatment.

　　引言

　　冠心病是中老年人的主要心血管疾病，在中醫(yī)中，冠心病屬于“胸痹”、“厥心痛”，常通過針灸、按摩、中藥等綜合方法治療[1]。傳統(tǒng)中醫(yī)在治療冠心病時(shí)采用本虛標(biāo)實(shí)的思路，即實(shí)為淤血痰阻，痹阻胸陽(yáng)，阻滯心脈，一般進(jìn)行先治標(biāo)后治本的方法[2]。

　　1 冠心病的傳統(tǒng)康復(fù)治療措施

　　1.1辮證治療

　　實(shí)證多由情志因素引起，心、肝氣機(jī)郁結(jié)，津液凝而為痰，或氣郁化火煉液成痰。證見心胸悶痛。治則：通陽(yáng)豁痰，行痰理氣[3]。方用：瓜萎燕白湯合血府逐淤湯加減。虛證：多見于年老體弱或久病之后，心脾虛弱，水谷精微不能化為氣血，反成痰濁，或肝腎陽(yáng)虛，虛火灼津成痰，均可導(dǎo)致痰阻氣滯[4]，脈道不利，心血淤阻[5]。

　　1.2針灸康復(fù)

　　1.3體療康復(fù)

　　1.4調(diào)養(yǎng)法

　　2 中醫(yī)綜合治療對(duì)冠心病患者的影響分析

　　2.1 分析對(duì)象

　　2.2 研究方法

　　2.3 結(jié)果

　　2.4 討論

　　3 結(jié)論

　　中醫(yī)認(rèn)為冠心病的病因病機(jī)為寒凝熱郁，飲食勞倦，七情內(nèi)傷，由于人體質(zhì)虛弱等因素導(dǎo)致心臟血脈的心脈瘀滯，氣血陰陽(yáng)嚴(yán)重失調(diào)。臨床表現(xiàn)虛實(shí)互見或者有虛有實(shí)，其實(shí)者大多表現(xiàn)為寒凝熱郁、氣滯血瘀、痰濁水飲，其虛者輕則臟腑氣血陰陽(yáng)不足，重則氣血升降失常，陰陽(yáng)不相順接，厥逆暴脫，甚則危及生命于頃刻之間.....

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