Clinical Study Of The Modified Xinnaotongfang Decoction On Patients Of Unstable AnginaPectoris With Syndrome Of Phlegm Stasis Blocking Heart Collaterals And Carotid Atherosclerosis In.

Objective:To observe the blood stasis, phlegm, lower clinical efficacy, reduce blood clots and intimal media thickness, absorption of UA patients with the treatment of sputum and blood stasis.Method:60 cases of patients with UA were randomly divided into treatment group (western medicine combined with Xin nao tong fang decoction) and control group (simply with western medicine). All clinical data were compared after 8weeks'treatment. Were observed before and after the treatment efficacy of TCM symptoms, degree of angina, ECG, blood lipid levels, carotid intima-media thickness change, the therapeutic efficacy。Results:1. The two groups of TCM syndrome curative effect between treatment group compared with significant efficiency, control a statistically significant difference (p<0.05). The treatment group total effectiveness compared with controls, the difference was statistically significant (p<0.05).2. The treatment group and control group two groups of patients after treatment were relatively TCM syndrome integral significantly reduce before treatment (p <0.05), treatment compared between the two groups after integral there were significant differences in reducing, the treatment group in TCM syndrome integral significantly better than the control group (p<0.05).3. Angina curative effect, two groups compared than before treatment after treatment were markedly improved angina, a statistically significant difference (p<0.05). The treatment group and control group differences significant efficiency was statistically significant (p<0.05). The treatment group total effectiveness compared with controls, a statistically significant (p<0.05).4. The treatment group compared with controls nitroglycerin stopped completely YongLv comparative differences have statistically significant (p< 0.05).5. Two groups of lipid comparison:after treatment, blood fat, analysis and comparison, two groups of various lipid indexes is before treatment have improved, a statistically significant difference (p<0.05), the treatment group LDL-C level compared with controls difference was statistically significant (p<0.05).6. Carotid artery in comparison:two groups intima thickness after treatment in carotid arteries are lower intima thickness before treatment, a statistically significant difference (p<0.05). And comparison between the two groups without obvious difference.Conclusion:1. Xinnaotongfang Decoction joint western medicine therapy unstable angina combined carotid artery atherosclerosis hard phlegm stasis syndrome to improve internal syndromes, ease patients with clinical efficacy is obvious superior as angina pectoris pure western conventional treatment 2. Xinnaotongfang Decoction joint western medicine therapy unstable angina combined carotid atherosclerosis of internal hard phlegm stasis syndrome patients lipid levels, carotid artery improved intima thickness in certain influence. And may reduce acute cardiovascular events.