本文關鍵詞：參附湯加味治療慢性心力衰竭臨床研究　出處：《中國現(xiàn)代藥物應用》2017年08期 　論文類型：期刊論文

  更多相關文章： 參附湯加味 慢性心力衰竭 療效

【摘要】：目的研究參附湯加味治療慢性心力衰竭臨床療效。方法 100例慢性心力衰竭患者根據(jù)治療方法不同分為觀察組與對照組,各50例。對照組患者采用西醫(yī)對癥治療,觀察組在對照組治療的基礎上采用中醫(yī)辨證加服參附湯加味治療,對比兩組患者采用不同治療方法后的臨床療效。結果觀察組治療總有效率為92%,明顯高于對照組的76%,差異具有統(tǒng)計學意義(P0.05)。治療前兩組患者心力衰竭癥狀積分比較差異無統(tǒng)計學意義(P0.05)。治療后兩組患者心力衰竭癥狀積分均大幅度下降,且觀察組患者衰竭癥狀積分明顯低于對照比較,差異具有統(tǒng)計學意義(P0.05)。兩組患者治療前6 min步行試驗和血清N端前體腦鈉肽(NT-proBNP)水平比較差異無統(tǒng)計學意義(P0.05)。治療后兩組患者6 min步行試驗和血清NT-proBNP水平均明顯改善,且觀察組優(yōu)于對照組,差異具有統(tǒng)計學意義(P0.05)。結論慢性心力衰竭患者在常規(guī)對癥治療的基礎上采用中醫(yī)辨證加服參附湯加味治療,能更好的改善心功能,值得推廣應用。
[Abstract]:Objective to study the clinical effect of Shenfu decoction on chronic heart failure. Methods 100 patients with chronic heart failure were divided into observation group and control group according to different treatment methods. 50 cases each. The patients in the control group were treated with western medicine, while the observation group was treated with TCM syndrome differentiation and Shenfu decoction on the basis of the treatment of the control group. Results the total effective rate of the observation group was 92, which was significantly higher than that of the control group (76%). The difference was statistically significant (P 0.05). There was no significant difference in symptom score of heart failure between the two groups before treatment (P 0.05). After treatment, the symptom scores of heart failure in both groups were significantly decreased. The symptom score of failure in the observation group was significantly lower than that in the control group. The difference was statistically significant (P 0.05). There was no significant difference in walking test 6 min before treatment and serum NT-proBNPs (P < 0.05) between the two groups (. After treatment, both 6 min walking test and serum NT-proBNP level were significantly improved in both groups. And the observation group is better than the control group, the difference is statistically significant P0.05.Conclusion the patients with chronic heart failure are treated with TCM syndrome differentiation and Shenfu decoction on the basis of routine treatment. It can improve cardiac function better and is worth popularizing.
【作者單位】： 廣東省開平市三埠衛(wèi)生院;
【分類號】：R259
【正文快照】： 慢性心力衰竭臨床又稱為慢性充血性心力衰竭,主要原因在于心臟功能性疾病或者心臟器質性疾病導致射血能力損傷和心室充盈能力的損害所造成的心血管主要綜合征,同時是現(xiàn)代醫(yī)學的難題[1-4]。本次研究作者在西藥常規(guī)治療的基礎上,運用中藥湯劑參附湯加味治療,取得一定成效,現(xiàn)將結

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