[Long-term changes in the different types of coronary diseases treated with traditional Chinese and Western medicine].

J Bao, J G Lou
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Abstract

64 cases with TCM differential types of CHD treated with TCM-WM in long term (an average of 10.5 years) were divided into four types according to deficiency of Yang [including weakness of Q1], deficiency of Yin, blood stasis and disorder of Qi and phlegm. Compared with pre-treatment 42 cases (65.62%) with TCM differential types showed improvement or no change in group I, II (clinical total effective rate 92.86%, the significantly effective rate 40.98%). While 22 cases (34.38%) with TCM differential type became aggravated or worse (clinical total effective rate 54.54%, the significantly effective rate 13.63%). The report indicated that the results in comparing group I, II with group III, IV were statistically significant; age (P less than 0.01), course of disease (P less than 0.01), impairment of myocardium (P less than 0.05), complication (P less than 0.05), ratio of deficiency of Yang (P less than 0.01), blood stasis (P less than 0.01) and high coagulation of blood (P less than 0.01). Therefore the author suggests that it is necessary to protect Yang-Qi and prevent and treat the complication of the CHD patients.

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[中西医结合治疗不同类型冠心病的远期变化]。
采用中西医结合治疗冠心病中医辨证分型64例(平均10.5年),按阳虚(含Q1虚)、阴虚、血瘀、气痰失调分为4型。与治疗前比较,ⅰ组、ⅱ组42例(65.62%)中医分型改善或无变化(临床总有效率92.86%,显著有效率40.98%)。而中医辨证分型加重或加重22例(34.38%)(临床总有效率54.54%,显著有效率13.63%)。报告显示,I、II组与III、IV组比较结果有统计学意义;年龄(P < 0.01)、病程(P < 0.01)、心肌损害(P < 0.05)、并发症(P < 0.05)、阳虚比(P < 0.01)、血瘀比(P < 0.01)、高凝血比(P < 0.01)。因此,笔者建议在冠心病患者中应注意保护阳气,预防和治疗并发症。
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