苏 菲万 洁董巧稚崔晓云林 谦(中日友好医院，北京，0009；北京中医药大学东方医院，北京，00078)

    从10年随访探讨益气凉血生肌方改善PCI术后生存质量的跟踪研究

    苏 菲1万 洁2董巧稚2崔晓云2林 谦2

    (1中日友好医院，北京，100029；2北京中医药大学东方医院，北京，100078)

    摘要目的：通过随机对照的方法观察冠心病PCI术后患者行益气凉血生肌方中药复方干预后生存质量的改善作用。方法：通过近期随访和10年后远期随访的对比来研究益气凉血生肌方的临床疗效。结果：中药组近期生存曲线分析在6个月左右时明显优化(P<0. 05)，远期生存曲线分析有优化趋势，但与对照组比较无统计学意义(P>0. 05)，中药组影响生存质量心血管并发症的出现明显低于对照组(P<0. 05)；影响心血管事件多因素分析证实服用益气凉血生肌方中药和长期规律门诊复查相关性最明显(P<0. 05)。结论：长期中药治疗对患者获益良多，益气凉血生肌方可以改善冠心病患者PCI术后近、远期的生存质量情况，可以作为PCI后长期中药治疗的一项参考，临床疗效持久。

    关键词益气凉血生肌方；10年随访；冠脉介入治疗；远期生存质量

    The Effect of Yiqi Liangxue Shengji Recipe in Improving PCI Patients'Life Quality from Ten-year Follow-up

    Su Fei1，Wan Jie2，Dong Qiaozhi2，Cui Xiaoyun2，Lin Qian2

    (1 Beijing University of Chinese Medicine，Beijing 100029，China；2 Dongfang Hospital affiliated to Beijing University of Chinese Medicine，Beijing 100078，China)

    Abstract Objective：A 10-year RCT(Random control trials)that followed CHD(Coronary Heart Disease)patients who took Yiqi Liangxue Shengji Recipe(YL)after PCI was conducted in order to observe the quality of life and clinical long-term effect of YL. Methods：Ninety-seven cases were randomly divided into YL treatment group(n＝56)and control group(n＝46)on the basis of our previous research. Patients'quality of life were observed during10 years. Results：YL treatment group had better quality of life in 6 month after PCI(P<0. 05) ......