缺血性心肌病患者40例中医辩证治疗的疗效及心功能改善分析

发布时间：2018-01-31 14:45

本文关键词： 缺血性心肌病中医辩证疗效心功能　出处：《中国地方病防治杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的分析缺血性心肌病患者40例中医辩证治疗的疗效及心功能改善。方法选取2014年6月-2015年6月来我科室治疗的心功能II-IV级的80例缺血性心肌病患者为研究对象,随机选择40例为观察组采用中医病症疗法,40例为对照组采用常规的西医疗法。分析两组患者的6 min步行试验,中西医证候与心功能情况和超声心动图参数。结果观察组患者中医症候的显效20例,显效率为50.00%,高于对照组的25.00%,对比有明显统计学差异(χ~2=5.3333,P=0.0209)。观察组患者无效3例,无效率为7.50%,远低于对照组的30.00%。两组总有效率对比差异显著(χ~2=6.6462,P=0.0099),说明在西医疗法的基础上辅助中医辨证疗法效果更加显著。观察组患者心功能指标的显效19例,显效率为47.50%,高于对照组的25.00%,对比有明显统计学差异(χ~2=4.3813,P=0.0363)。观察组患者无效4例,无效率为10.00%,远低于对照组的27.50%。两组总有效率对比差异显著(χ~2=4.0205,P=0.0450),说明在西医疗法的基础上辅助中医辨证疗法效果更加显著。观察组患者心脏超声各参数LVEF(43.27±5.21)%,LVEDd(59.34±5.43)mm,ΔFS(26.32±1.63)%,E/A(1.23±0.22)均优于对照组的对应指标,两组对比有显著统计学差异(t=2.3628,P=0.0206;t=2.4643,P=0.0159;t=2.7831,P=0.0068;t=2.5023,P=0.0144),表明在西医疗法的基础上辅助中医辨证疗法可以有效改善心功能状态。两组患者治疗前的6 min步行试验对比无明显统计学差异(P0.05)。在治疗后,观察组患者的6 min步行试验为(362.21±63.47)m明显大于对照组的,两组对比有显著统计学差异(t=2.1428,P=0.0352)。结论缺血性心肌病患者在西医治疗的基础上,采用中医辨证治疗可以极大地改善患者心功能,疗效突出,在临床上应大力推广。
[Abstract]:Objective to analyze the curative effect and cardiac function improvement of 40 patients with ischemic cardiomyopathy treated with traditional Chinese medicine. Methods 80 cases of cardiac function II-IV grade treated from June 2014 to June 2015 in our department were selected. Patients with ischemic cardiomyopathy were studied. 40 cases were randomly selected as observation group, 40 cases were treated with TCM symptom therapy and 40 cases as control group were treated with routine western medicine therapy. The 6 min walking test of the two groups was analyzed. Results there were 20 cases of TCM symptoms in the observation group, the effective rate was 50.00g, which was higher than that of the control group (25.00% cases). There was significant difference between the two groups (蠂 ~ (2) 2) 5.3333 (P < 0.05). In the observation group, 3 cases had no effect and the inefficiency rate was 7.50%. The total effective rate of the two groups was significantly lower than that of the control group (蠂 ~ 2 = 6.6462P ~ 0. 0099). On the basis of western medicine therapy, the effect of assistant TCM syndrome differentiation therapy was more remarkable. The significant effect of cardiac function index in the observation group was 47.50, which was higher than that in the control group (25.00%). There was significant statistical difference between the two groups (蠂 ~ (2 +) 4.3813) (P < 0.05). In the observation group, 4 cases had no effect, and the ineffective rate was 10.00%. The total effective rate of the two groups was significantly lower than that of the control group (蠂 2 + 4.0205%, P < 0.045). The results showed that the effect of TCM syndrome differentiation therapy was more remarkable on the basis of western medicine therapy. The parameters of heart ultrasound in observation group were LVEF(43.27 卤5.21%. LVEDd(59.34 卤5.43 mm, 螖 FS(26.32 卤1.63 卤1.23 卤0.22) were better than those of the control group. There was significant statistical difference between the two groups. T (2.4643) (P = 0.0159); T = 2.7831, P = 0.0068; T = 2.5023, P = 0.0144). The results showed that the aid of TCM syndrome differentiation therapy on the basis of western medicine therapy could effectively improve the state of cardiac function. There was no significant difference between the two groups in 6 min walking test before treatment (P0.05). After treatment. The 6 min walking test of the patients in the observation group was 362.21 卤63.47m significantly higher than that in the control group, and there was a significant difference between the two groups (t = 2.1428). Conclusion on the basis of western medicine treatment, TCM syndrome differentiation treatment can greatly improve the cardiac function of patients with ischemic cardiomyopathy, the curative effect is outstanding, and it should be popularized in clinic.
【作者单位】：义乌市中心医院特需病房;
【分类号】：R259
【正文快照】： 缺血性心肌病(Ischemic cardiomyopathy,ICM)是由于冠状动脉狭窄或闭塞后引起慢性心肌缺血而导致心肌细胞凋亡、重筑,诱发严重的心肌功能障碍,甚至心力衰竭[1-2]。心力衰竭患者病亡率较高,是心血管病症的终末期,这严重威胁患者的生命安全[3]。为修复心力衰竭患者心机能,提高患

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