Clinical Observation On Chest Pain (Qi Stagnation Blood Stasis Syndrome) After PCI Operation Of Coronary Heart Disease By "Xuan Bi Tong Yu Fang" Combined Exercise Therapy

Objective: By comparing the efficacy of TCM syndromes,angina pectoris,electrocardiogram and nitroglycerin reduction rate before and after the trial of patients with chest pain(qi stagnation blood stasis syndrome)after PCI of coronary heart disease,this paper evaluates the safety and efficacy of the combined exercise therapy in practical clinical treatment,and aims to provide clinical basis for the study of combined exercise therapy of traditional Chinese medicine.It can better improve the prognosis and provide new ideas and methods for patients with chest pain after PCI of coronary heart disease.Methods: 70 Patients with chest pain(qi stagnation blood stasis syndrome)after PCI of coronary heart disease were randomly and evenly divided into two groups,and 35 cases were compared with the control group.The treatment plan of the control group was: Combined exercise therapy for routine treatment of Western medicine.Angina attack when the temporary tongue containing nitroglycerin tablets(0.5mg/tablets,Beijing Yimin Pharmaceutical Co.,Ltd.),the dose of 0.5-1 tablets,according to the remission of angina pectoris,after 5 minutes can be reused.Long-term regular oral administration of the following drugs: morning on an empty stomach to take aspirin enteric tablets(100mg/tablets,BayerS.p.A)100mg daily 1 times,after the morning meal to take clopidogrel sulfate tablets(75mg/tablets,Hangzhou Cylon Pharmaceutical Co.,Ltd.)75mg 1 times a day,Take atorvastatin calcium tablets 8 o’clock the night before bedtime(20mg/tablets,Pfizer Pharmaceutical Co.,Ltd.)20mg 1 times a day,according to the patient’s condition selective use of the following drugs: beta receptor blockers: such as succinic Metoprolol sustained release tablets(47.5mg/tablets,AstraZeneca Co.,Ltd.)23.75 mg Day 1 oral,Angiotensin converting enzyme inhibitors: such as Benazepril hydrochloride tablets 5mg(10mg/tablets,Novartis Pharmaceutical)Day 1 oral.The treatment plan of the test group was: the routine treatment of Western medicine combined with exercise therapy plus the blood stasis side,the western medicine routine treatment,the exercise therapy and the control group.Frying method: On the medicinal agricultural granules,by Changchun University of Traditional Chinese Medicine affiliated hospital granular pharmacy provided,each dose of warm water to flush 150 ml,each 50 ml,day 2 oral.Observe for 8 weeks.After entering the group and at the end of the course of treatment,the safety index was measured(blood routine,urine routine,liver function,kidney function),electrocardiogram examination,TCM symptom integral,angina symptom integral and nitroglycerin tablet dosage evaluation.Results: Clinical studies have shown that,compared with the control group,Xuan BI Huayu combined exercise therapy can significantly improve the symptoms,angina pectoris and electrocardiogram status of patients with chest pain(qi stagnation blood stasis syndrome)after PCI of coronary heart disease,reduce the use of nitroglycerin,and have no obvious damage to liver and kidney function.Conclusion: The treatment of thoracic pain(Qi stagnation blood stasis syndrome)in patients with coronary heart disease after PCI is effective and safe,and can be popularized to treat chest pain after PCI of coronary heart disease,which is qi stagnation blood stasis syndrome.