The Clinical Observation On The Effect Of QiShen Yiqi Drop Pill For The Patients With Coronary Heart Disease Of Qi Deficiency And Blood Stasis Syndrome After Percutaneous Coronary Intervention

Objective:The purpose of this study is to investigate whether the conventional western medicine combined with Qishenyiqi pills can improve the clinical symptoms and detection index of angina pectoris of coronary heart disease with qi deficiency and blood stasis syndrome after PCI surgery,so as to improve patients' quality of life.Methods:66 patients,from Shanxi People's Hospital in accordance with the standards of the angina pectoris of coronary heart disease after interventional treatment,were divided into control group(routine therapy)and treatment group(routine therapy combined with Qishenyiqi pills)randomly.Each group has 33 patients,and both were treated and observed for 3 months.Evaluate clinical symptoms and quality of life in patients by analying the Seattle angina questionnaire before and after treatment;observe the curative effects on four blood lipids(TC TG HDL-C LDL-C),left ventricular ejection fraction(LVEF)and so on;take the blood urine three conventional,liver and kidney function,ECG and other tests as security index of observation.Results:1.The general clinical data:The treatment group and control group were comparable in age,gender,disease duration,risk factors,and the number of vascular lesions.There was no statistically significant difference(P>0.05).2.Four indexes of blood lipid:Compared before and after treatment,the two groups were significantly improved in blood lipids(TC,TG,LDL-Cdecreased,HDL-C increased).There was significant difference between the two groups before and after treatment(p<0.05).Compared with the control group,the TC and LDL-C indexes in the treatment group were significantly lower than those in the control group,the difference was statistically significant(p<0.05),but there was no significant difference between the TG and HDL-C groups(p>0.05).3.Heart function index: before and after treatment of the two groups of patients underwent echocardiography examination;in two groups before and after treatment,left ventricular ejection fraction(LVEF)was statistically significant difference(p<0.05),comparison between groups,and the treatment group was significantly higher than the control group.There was significant difference(p<0.05).4.Seattle Angina Questionnaire: compared before and after treatment in two groups of Seattle scale indicators(PL,AS,AF,TS,DP),after treatment score were higher than that before treatment,and the difference was statistically significant(p<0.05).The PL,AS,AF integral were higher in the treatment group in comparison with the control group,and the difference was statistically significant(p<0.05).There were no statistically significant difference between the two groups of TS and DP score(p>0.05).5.The integral of TCM syndrome: To compare the TCM Syndromes of the patients in two groups,the treatment group and control group after treatment scores were significantly reduced,and the difference was statistically significant(P<0.01).Between the two groups,the treatment group was better than the control group,and the difference was statistically significant(P<0.05).6.Adverse cardiovascular events: Follow the adverse cardiovascular events by telephone and outpatient,and the difference was not statistically significant(p>0.05).Conclusion:For the patients with angina pectoris of coronary heart disease after interventional belonged to qi deficiency and blood stasis syndrome,use conventional western medicine combined with Qishenyiqi pills can improve the clinical symptoms,the life quality of patients and LVEF,and reduce LDL-C and TC.Therefore,Qishenyiqi pills have certain clinical value for the patients with angina pectoris after PCI,which can be put into practice dialectical.