摘要
目的探讨保元汤合血府逐瘀汤加减辅助冻干重组人脑利钠肽治疗急性心力衰竭的疗效。方法选择本院收诊的78例急性心力衰竭患者,随机分为观察组和对照组,每组39例。对照组采用冻干重组人脑利钠肽,观察组在此基础上加用保元汤合血府逐瘀汤加减治疗。比较两组心输出量、左心室舒张末期内径、每搏输出量、24 h尿量、脑钠肽(BNP)水平与疗效。结果两组治疗后心输出量、左心室舒张末期内径、每搏输出量比较,P<0.05;两组治疗后24 h尿量、BNP水平比较,P<0.05;两组的疗效比较,P<0.05。结论联合应用保元汤合血府逐瘀汤加减疗法,有助于改善急性心力衰竭患者的心脏功能与疗效,应用价值良好。
Objective To explore the efficacy of modified Baoyuan decoction and Xuefu Zhuyu decoction assist⁃ing lyophilized recombinant human brain natriuretic peptide in the treatment of patients with acute heart failure(AHF).Methods 78 patients with AHF were randomly divided into the observation group and the control group,39 cases in each group.The control group were treated with lyophilized recombinant human brain natriuretic peptide,while the ob⁃servation group was added modified Baoyuan decoction and Xuefu Zhuyu decoction therapy on the basis of the control group.The cardiac output,left ventricular end-diastolic diameter,stroke volume,24 h urine volume,BNP level and ef⁃fective rate were compared between the two groups.Results After treatment,the cardiac output,left ventricular end-di⁃astolic diameter,stroke volume,24 h urine volume and BNP level of the two groups were compared with P<0.05.The ef⁃fective rate of the two groups were compared with P<0.05.Conclusion The application of modified Baoyuan decoc⁃tion and Xuefu Zhuyu decoction can help improve the cardiac function,which has good application value.
作者
王正宽
WANG Zhengkuan(Xuchang central hospital of Henan university of science and technology,Xuchang 461000,Henan)
出处
《菏泽医学专科学校学报》
2020年第3期61-63,共3页
Journal of Heze Medical College
关键词
急性心力衰竭
冻干重组人脑利钠肽
血府逐瘀汤
保元汤
Acute heart failure
Lyophilized recombinant human brain natriuretic peptide
Xuefu Zhuyu decoc⁃tion
Baoyuan decoction
