| Objective:The purpose of this study is to observe the clinical efficacy of phlegm and blood stasis syndrome on patients with Angina pectoris after PCI.To observe the changes of various indexes after taking the Chinese medicine which can eliminating phlegm and removing blood stasis.To provide new ideas and methods for improving the exercise tolerance of patients with Angina pectoris after PCI.Material and method:All 70 cases were presented between June 2016 to June 2017 in the department of cardiopulmonary rehabilitation of Liaoning University of Traditional Chinese Medicine's Affiliated Hospital and were diagnosed with Angina pectoris after PCI with phlegm and blood stasis syndrome.A randomized controlled trial was used to divide it into 2 groups of 35 cases in each group,but 1 case in the treatment group and 2 cases in the control group were out of control.Treatment methods: the control group received routine treatment of Western medicine;based on routine treatment of Western medicine,the treatment group use Professor Zhang Yan's prescription of eliminating phlegm and removing blood stasis.The course of treatment was 2 weeks,and the clinical effect was observed.Compare the score of angina pectoris?TCM syndrome integral?the changes in electrocardiogram and the results of the motion plate test between two groups after treatment.The items included: the time to lower 1mm to the ST segment,the time to angina pectoris,the total exercise time,and the metabolic equivalents(METs).The vital signs,changes of symptoms,and adverse reactions during the treatment of patients were closely observed and recorded.Results:1.After treatment,the scores of angina pectoris and TCM syndromes in the two groups were significantly lower than those before treatment.Compared between the two groups,the treatment group was better than the control group,P < 0.05,with statistical significance.2.After treatment,the effect of angina pectoris and TCM syndrome in the treatment group were better than that of the control group,P < 0.05,with statistical significance.3.After treatment,the change of electrocardiogram in the treatment group was more obvious than that of the control group,P < 0.05,with statistical significance.4.After treatment,the time from the two groups to the ST segment moved down to 1mm,the time of angina attack and the total exercise time in the group were longer than those before treatment,P < 0.05.Compared with the control group,the treatment group was significantly better than the control group,P < 0.05,which had statistical significance.5.After treatment,the metabolic equivalents(METs)of two groups was increased significantly after treatment,P < 0.05,the difference was statistically significant;Compared with the control group,the treatment group was significantly better than the control group,P <0.05,which had statistical significance.Conclusion:1.The use of traditional Chinese medicine for eliminating phlegm and removing stasis combined with western medicine therapy and simple western medicine had improved the exercise tolerance of patients with Angina pectoris after PCI.2.In order to improve the exercise tolerance,the traditional Chinese medicine for eliminating phlegm and removing stasis combined with western medicine is more obvious than the simple western medicine for patients with Angina pectoris after PCI.3.Traditional Chinese medicine for eliminating phlegm and removing stasis with western medicine can obviously reduce the scores of angina pectoris and TCM syndromes after PCI operation,and improve the quality of life of the patients with Angina pectoris after PCI with phlegm and blood stasis syndrome.It can prolong the time from begin to the ST segment moved down to 1mm,the time of angina attack and the total exercise time,and improve the metabolic equivalents(METs).The ischemic electrocardiogram are also obviously changed,suggesting that it has the effect of improving the patient's exercise tolerance.4.It is safe and effective for eliminating phlegm and remove stasis,without adverse reactions and side effects.It is worthy of clinical application. |
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