中西医结合治疗2型心肾综合征的临床观察

发布时间：2018-01-26 16:17

本文关键词： 中西医结合治疗心肾综合征疗效　出处：《中国中药杂志》2017年19期 　论文类型：期刊论文

【摘要】：观察中西医结合治疗2型心肾综合征的临床疗效。将入选的2型心肾综合征患者分为单纯西医治疗组(对照组)和中西医结合治疗组(治疗组),2组患者均采用西医常规治疗,治疗组在此基础上给予补心益肾汤口服,共治疗3个疗程,观察2组患者治疗前后的总疗效、心功能指标、肾功能指标的变化情况。治疗组与对照组的总疗效分别为91.80%,72.41%。2组比较有显著性差异(P0.01);组内比较,治疗组与对照组在治疗前后的心功能指标、肾功能指标都有明显改善,差异有统计学意义(P0.01);2组治疗后心、肾功能指标比较,左室功能、血尿钠肽、血肌酐、尿素氮、胱抑素-C的改善,治疗组均优于对照组(P0.05~0.01)。结果表明,中西医结合治疗能提高2型心肾综合征的临床疗效,明显改善心肾功能,优于单纯的西医常规治疗,且具有良好的安全性。
[Abstract]:To observe the clinical effect of type 2 cardiorenal syndrome treated with integrated traditional Chinese and western medicine. The patients with type 2 cardiorenal syndrome were divided into two groups: simple western medicine group (control group) and integrated traditional Chinese and western medicine group (treatment group). Two groups of patients were treated with western medicine routine treatment, the treatment group on the basis of Bushinyishen decoction oral, a total of three courses of treatment, observe the two groups of patients before and after treatment of the total curative effect, cardiac function indicators. The total curative effect of the treatment group and the control group were 91.80 and 72.41, respectively. There was significant difference between the treatment group and the control group (P 0.01). Compared with the control group, the indexes of cardiac function and renal function in the treatment group and the control group were significantly improved before and after treatment, and the difference was statistically significant (P 0.01). The improvement of left ventricular function, hematuria natriuretic peptide, serum creatinine, urea nitrogen and cystatin C in the treatment group was better than that in the control group (P 0.05). The combination of traditional Chinese and western medicine can improve the clinical effect of type 2 cardiorenal syndrome and improve the function of heart and kidney obviously, which is superior to the routine treatment of western medicine alone and has good safety.
【作者单位】：青岛市市立医院;
【基金】：国家自然科学基金项目(81300695)
【分类号】：R541.6;R692.5
【正文快照】： 随着我国人口的老龄化和人口寿命的延长,越来越多的多脏器合并疾病是老年科医生所面临的棘手问题。其中心肾综合征(cardiorenal syndromes,CRS)就是一大难题,引起越来越多的重视,2008年世界肾脏学会议提出了心肾综合征的新定义,即心脏或肾脏中任一器官急性或慢性功能障碍时,另

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