研究疾病:
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冠心病
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研究疾病代码:
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Target disease:
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coronary heart disease
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Target disease code:
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研究类型:
Study type:
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观察性研究
Observational study
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研究设计:
Study design:
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非随机对照试验
Non randomized control
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研究所处阶段:
Study phase:
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其它
Others
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研究目的:
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评价益气活血方(芪参丹芍颗粒)能否改善冠心病心绞痛近期未行PCI术患者的临床症状,对真实世界中医药的疗效进行验证。
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Objectives of Study:
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To evaluate whether Yi-Qi Huo-Xue prescription (Qi-Shen Dan-Shao granules) can improve the clinical symptoms of patients with coronary heart disease and angina pectoris who have not undergone PCI recently, and to verify the efficacy of traditional Chinese medicine in the real world.
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药物成份或治疗方案详述:
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药物成份:党参15g 黄芪30g 当归10g 川芎15g 赤芍15g 郁金15g 丹参15g 远志10g、磁石30g。
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Description for medicine or protocol of treatment in detail:
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Pharmaceutical ingredients: dangshen15g, huangqi30g, danggui10g, chuanxiong15g, chishao15g, yujin15g, danshen15g, yuanzhi10g, cishi30g.
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纳入标准:
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(1)符合冠心病心绞痛诊断,具备以下证据之一:
① 有明确的陈旧性心肌梗死病史;
② 冠脉造影,提示至少一支冠脉狭窄,且管腔狭窄≥50%;
③ CTA提示主要血管管腔狭窄≥50%(或中度以上狭窄)。
(2)每周心绞痛发作≥2次。
(3)符合气虚血瘀证的诊断标准。
(4)年龄30-75岁。
(5)自愿签署知情同意书。
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Inclusion criteria
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1. Consistent with the diagnosis of coronary heart disease angina pectoris, with one of the following evidence:
(1) There is a clear history of old myocardial infarction;
(2) Coronary angiography, suggesting at least one coronary stenosis, and lumen stenosis >=50%;
(3) CTA suggested stenosis of the main vascular lumen >= 50% (or above moderate stenosis);
2. Angina pectoris attacks >=2 times per week;
3. Meet the diagnostic criteria of qi deficiency and blood stasis;
4. Aged 30-75 years;
5. Voluntarily sign the informed consent.
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排除标准:
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(1)近60天内进行过冠状动脉血运重建治疗。
(2)近1月使用任何中药制剂(如中成药、中药配方颗粒等)。
(3)近1月发生急性心肌梗死。
(4)有下列疾病之一者:
a.高血压病并经降压药物治疗后血压仍偏高者(收缩压≥180mmHg,舒张压≥100mmHg);
b.严重心律失常(房颤伴快速心室反应、房扑、阵发性室速等)、肺心病、风心病、心肌炎、心肌病、主动脉夹层、肺栓塞等严重疾病。
(5)甲状腺功能亢进、颈椎病、胆心综合症、胃-食管返流病或食道裂孔疝、神经官能症、更年期综合征等疾病相关的胸痛症状者。
(6)血清谷丙转氨酶或血清肌酐>2倍正常参考值上限者。
(7)严重血液系统疾病者。
(8)恶性肿瘤者。
(9)孕妇、哺乳期妇女或有生育要求的育龄妇女。
(10)精神病或有认知功能障碍者。
(11)对试验药物过敏者。
(12)最近1个月内参加过其他临床试验者。
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Exclusion criteria:
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1. Coronary revascularization was performed within 60 days;
2. Use any preparation of traditional Chinese medicine (such as proprietary Chinese medicine, Chinese medicine granule, etc.) in the recent month;
3. Acute myocardial infarction occurred in recent month;
4. Patients with one of the following diseases:
(1) Patients with high blood pressure after hypertension and antihypertensive drug treatment (systolic blood pressure >= 180mmHg, diastolic blood pressure >=100mmHg);
(2) Severe arrhythmia (atrial fibrillation with rapid ventricular response, atrial flutter, paroxysmal ventricular tachycardia, etc.), pulmonary heart disease, rheumatic heart disease, myocarditis, cardiomyopathy, aortic dissection, pulmonary embolism and other serious diseases;
5. Chest pain symptoms related to hyperthyroidism, cervical spondylosis, gallbladder heart syndrome, gastroesophageal reflux disease or hiatal hernia, neurosis, climacteric syndrome, etc.;
6. The upper limit of serum alanine transaminase or serum creatinine >2 times the normal reference value.
7. Severe hematological diseases.
8. Malignant tumor;
9. Women of child-bearing age who are pregnant or breast-feeding or who are required to have children;
10. Mental illness or cognitive dysfunction;
11. Allergic to the test drug;
12. Have participated in other clinical trials within the recent month.
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研究实施时间:
Study execute time:
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从From
2019-08-01
至To
2023-08-31
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征募观察对象时间:
Recruiting time:
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从From
2020-02-01
至To
2023-08-31
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