摘要
目的探讨黄芪桂枝五物合真武汤加减治疗慢性心力衰竭的疗效。方法本研究回顾2019年1月—2020年1月收治的100例慢性心力衰竭患者的临床资料,依据不同治疗方案分为对照组(50例,西药治疗)和试验组(50例,黄芪桂枝五物合真武汤加减治疗),对比2组临床治疗效果。结果试验组总有效率达到92.0%,明显高于对照组的76.0%(P <0.05)。试验组MLHFQ评分、中医证候评分、Lee氏心衰评分、NYHA心功能评分明显低于对照组,而其6 min步行距离则明显长于对照组(P <0.05)。试验组治疗后各项超声心动图检查结果均明显高于对照组(P <0.05)。结论慢性心力衰竭患者接受黄芪桂枝五物合真武汤加减治疗,有助于其心功能改善,保证较为理想的治疗效果。
Objective To explore the curative effect of Huangqi Guizhi Wuwu decoction and Zhenwu decoction on chronic heart failure.Methods This study reviewed the clinical data of 100 patients with chronic heart failure admitted between January 2019 and January 2020.According to different treatment plans,they were divided into control group( 50 cases,western medicine treatment) and experimental group( 50 cases,Huangqi Gui Zhiwuwu decoction combined with Zhenwu decoction( modified treatment)),the clinical treatment effects of the two groups were compared. Results The total effective rate of the experimental group was over 92. 0%,which was significantly higher than( 76. 0%) of the control group( P < 0. 05). The results of MLHFQ score,TCM syndrome evaluation,Lee’s heart failure,and NYHA cardiac kinetic energy score of the experimental group were significantly lower than those of the control group,while the 6-min walking distance was significantly longer than that of the control group( P < 0. 05). After treatment,the results of echocardiography in the experimental group were significantly higher than those in the control group( P < 0. 05). Conclusion Huangqi Guizhi Wuwu decoction and Zhenwu decoction on chronic heart failure can help improve their cardiac function and ensure an ideal therapeutic effect.
作者
张润萍
胡明丽
ZHANG Runping;HU Mingli(Department of Geriatrics,Shanxi Hospital of Integrated Traditional Chinese and Western Medicine,Shanxi Province,Taiyuan 030013,China)
出处
《光明中医》
2021年第8期1224-1226,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
黄芪桂枝五物汤
真武汤
慢性心力衰竭
阳气亏虚证
中医药疗法
Huangqi Guizhi Wuwu Hezhenwu
Zhenwu decoction
chronic heart failure
yang qi deficiency syndrome
therapy of TCM
