摘要
目的:观察黄芪保心汤联合西医基础治疗对慢性心力衰竭阳虚水泛证患者疗效。方法:选取2014年12月~2016年12月间在本院治疗慢性充血性心力衰竭患者的62例,采用数字表法随机分为黄芪保心汤组和对照组,两组各31例。两组患者均给予常规西医治疗,黄芪保心汤组患者在常规治疗基础上口服黄芪保心汤。根据两组患者治疗前后的疗效、心功能分级变化、生活质量评分、血流动力学指标、日常活动能力(ADL)、6min步行距离(6MWT)、BNP水平进行对比分析。结果:本次研究发现黄芪保心汤组与对照组患者治疗效果总有效率对比差异有统计学意义(P<0.05);黄芪保心汤组与对照组患者治疗后、组内治疗前后的生活质量评分、心功能分级变化6MWT、BNP水平变化、黄芪保心汤组组内治疗前后、治疗后与对照组的LVEF水平、ADL评分对比差异有统计学意义(P<0.05),其他指标对比差异没有统计学意义(P>0.05)。结论:黄芪保心汤联合西医基础治疗慢性心力衰竭阳虚水泛患者,可明显提高临床疗效、改善患者生活质量、日常活动能力,使BNP水平明显降低,可应用于临床推广改善慢性充血性心力衰竭患者的治疗与预后质量。
Objective： To study the curative effect of Huangqi Baoxin Decoction combined with western medicine for the treatment of chronic heart failure with Yang deficiency syndrome. Methods： Sixty-two patients with chronic congestive heart failure（ CHD） were randomly divided into two groups： Huangqi Baoxin Decoction group and controlled group（ n= 31）. The two groups of patients were given conventional western medicine treatment,the Huangqi Baoxin Decoction group was given Huangqi Baoxin Decoction with oral administration on the basis of conventional treatment.（ ADL）,6-minute walking distance（ 6 MWT） and BNP level were compared and analyzed according to the curative effect,the change of cardiac function,the quality of life score,the hemodynamic parameters,the daily activity ability（ ADL）,the 6-minute walking distance（ 6 MWT） and the BNP level. Results： This study found that the total effective rate of the treatment effect of Huangqi Baoxin Decoction group and the controlled group was statistically significant（ P 0. 05）; The treatment of Huangqi Baoxin Decoction group and the controlled group after treatment,before and after treatment（ P0. 05）. The differences of LVEF and ADL scores between the two groups were statistically significant（ P0. 05）,and the differences between the two groups had no statistically significant（ P 0. 05）. Conclusion：Huangqi Baoxin Decoction combined with western medicine for the treatment of chronic heart failure in patients with chronic heart failure can significantly improve the clinical efficacy,improve the quality of life of patients,the ability to daily activities,so that BNP level is significantly reduced,can be used in clinical promotion to improve chronic congestive heart treatment and prognosis of patients with failure.
作者
袁素萍
滕加文
YUAN Suping;TENG Jiawen(Department of Cardiovascular Medicine, Shouguang Hospital of Traditional Chinese Medicine Shouguang Shandong 262700, Chin)
出处
《四川中医》
2018年第3期100-102,共3页
Journal of Sichuan of Traditional Chinese Medicine
关键词
黄芪保心汤
慢性心力衰竭
阳虚水泛证
Huangqi Baoxin Decoction
Chronic heart failure
Syndrome of water over-flowing due to Yang-defficiency
