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目的:探讨小柴胡汤加减联合针刺疗法治疗不稳定型心绞痛气郁血瘀证的疗效。方法:抽取2020年1月至2021年1月郑州人民医院收治的不稳定型心绞痛气郁血瘀证患者70例，根据随机数字表法分为对照组和观察组，每组35例。对照组接受针刺疗法，观察组在对照组治疗基础上加用小柴胡汤加减疗法，共治疗4周。比较两组治疗前及治疗4周时的中医证候积分、血液黏度(血浆黏度、全血黏度低切、全血黏度高切)、心功能[左室舒张末期内径(LVEDD)、左室射血分数(LVEF)、左室收缩末期容积(LVESV)]。结果:治疗4周时，两组中医证候积分均低于治疗前，且观察组低于对照组(n P<0.05)；两组全血黏度低切、全血黏度高切、血浆黏度均低于治疗前，且观察组低于对照组(n P<0.05)；两组LVEDD、LVESV均低于治疗前，LVEF高于治疗前，且观察组LVEDD、LVESV低于对照组，LVEF高于对照组(n P<0.05)。n 结论:小柴胡汤加减联合针刺疗法治疗不稳定型心绞痛气郁血瘀证的效果较好，可缓解患者的临床症状，改善血液流变学指标，增强心功能。“,”Objective:To investigate the effect of Xiaochaihu decoction combined with acupuncture on qi stagnation and blood stasis syndrome of unstable angina pectoris.Methods:Seventy patients with qi stagnation and blood stasis syndrome of unstable angina pectoris in Zhengzhou People’s Hospital from January 2020 to January 2021 were selected, and they were divided into control group and observation group by random number table method, with 35 cases in each group. The control group was treated by acupuncture, and the observation group was treated with Xiaochaihu decoction on the basis of the control group, the treatment lasted for 4 weeks. The Traditional Chinese Medicine (TCM) syndrome score, blood viscosity (plasma viscosity, low shear of whole blood viscosity, high shear of whole blood viscosity), cardiac function, including left ventricular end-diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF), left ventricular end systolic volume (LVESV) were compared between the two groups before and 4 weeks after treatment.Results:After 4 weeks of treatment, the score of TCM syndrome in the two groups was lower than that before treatment, and the score of TCM syndrome in the observation group was lower than that in the control group (n P<0.05). After 4 weeks of treatment, low shear of whole blood viscosity, high shear of whole blood viscosity and plasma viscosity in the two groups were lower than those before treatment, and the above indexes in the observation group were lower than those in the control group (n P<0.05). After 4 weeks of treatment, LVEDD and LVESV in the two groups were lower than those before treatment, and LVEF was higher than that before treatment; LVEDD and LVESV in the observation group were lower than those in the control group, and LVEF was higher than that in the control group (n P<0.05).n Conclusions:Xiaochaihu decoction combined with acupuncture is effective in the treatment of patients with qi stagnation and blood stasis syndrome of unstable angina pectoris. It can alleviate clinical symptoms, improve hemorheological indexes and enhance cardiac function.