参附汤加味治疗慢性心力衰竭临床研究

发布时间：2018-01-08 03:00

本文关键词：参附汤加味治疗慢性心力衰竭临床研究　出处：《中国现代药物应用》2017年08期 　论文类型：期刊论文

【摘要】：目的研究参附汤加味治疗慢性心力衰竭临床疗效。方法 100例慢性心力衰竭患者根据治疗方法不同分为观察组与对照组,各50例。对照组患者采用西医对症治疗,观察组在对照组治疗的基础上采用中医辨证加服参附汤加味治疗,对比两组患者采用不同治疗方法后的临床疗效。结果观察组治疗总有效率为92%,明显高于对照组的76%,差异具有统计学意义(P0.05)。治疗前两组患者心力衰竭症状积分比较差异无统计学意义(P0.05)。治疗后两组患者心力衰竭症状积分均大幅度下降,且观察组患者衰竭症状积分明显低于对照比较,差异具有统计学意义(P0.05)。两组患者治疗前6 min步行试验和血清N端前体脑钠肽(NT-proBNP)水平比较差异无统计学意义(P0.05)。治疗后两组患者6 min步行试验和血清NT-proBNP水平均明显改善,且观察组优于对照组,差异具有统计学意义(P0.05)。结论慢性心力衰竭患者在常规对症治疗的基础上采用中医辨证加服参附汤加味治疗,能更好的改善心功能,值得推广应用。
[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.
【作者单位】：广东省开平市三埠卫生院;
【分类号】：R259
【正文快照】： 慢性心力衰竭临床又称为慢性充血性心力衰竭,主要原因在于心脏功能性疾病或者心脏器质性疾病导致射血能力损伤和心室充盈能力的损害所造成的心血管主要综合征,同时是现代医学的难题[1-4]。本次研究作者在西药常规治疗的基础上,运用中药汤剂参附汤加味治疗,取得一定成效,现将结

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