中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
21期
143-145
,共3页
强心饮%慢性心衰%心脏左室功能指标%脑钠肽
彊心飲%慢性心衰%心髒左室功能指標%腦鈉肽
강심음%만성심쇠%심장좌실공능지표%뇌납태
Qiangxin decoction%Chronic heart failure%Heart function%Plasma BNP
目的：观察强心饮治疗老年慢性心衰的临床疗效。方法：选取2011年1月-2013年12月本院收治的老年慢性心衰患者78例，按随机数字表法分为治疗组42例和对照组36例，对照组患者使用ACEI、利尿、强心等药物进行常规的治疗，治疗组患者在常规治疗基础上使用强心饮进行治疗，观察两组的中医证候学积分、心功能及血浆NT-proBNP，周期为4周。结果：治疗后，治疗组总有效率为92.9%，高于对照组为66.7%，差异有统计学意义（P<0.05）；治疗后，治疗组各症状积分均明显优于对照组，差异均有统计学意义（P<0.05）；两组的心功能及血浆BNP比较差异均有统计学意义（P<0.05）。结论：西医治疗基础上加用强心饮治疗对气虚水停型慢性心衰进行治疗，效果明显，值得在临床推广。
目的：觀察彊心飲治療老年慢性心衰的臨床療效。方法：選取2011年1月-2013年12月本院收治的老年慢性心衰患者78例，按隨機數字錶法分為治療組42例和對照組36例，對照組患者使用ACEI、利尿、彊心等藥物進行常規的治療，治療組患者在常規治療基礎上使用彊心飲進行治療，觀察兩組的中醫證候學積分、心功能及血漿NT-proBNP，週期為4週。結果：治療後，治療組總有效率為92.9%，高于對照組為66.7%，差異有統計學意義（P<0.05）；治療後，治療組各癥狀積分均明顯優于對照組，差異均有統計學意義（P<0.05）；兩組的心功能及血漿BNP比較差異均有統計學意義（P<0.05）。結論：西醫治療基礎上加用彊心飲治療對氣虛水停型慢性心衰進行治療，效果明顯，值得在臨床推廣。
목적：관찰강심음치료노년만성심쇠적림상료효。방법：선취2011년1월-2013년12월본원수치적노년만성심쇠환자78례，안수궤수자표법분위치료조42례화대조조36례，대조조환자사용ACEI、이뇨、강심등약물진행상규적치료，치료조환자재상규치료기출상사용강심음진행치료，관찰량조적중의증후학적분、심공능급혈장NT-proBNP，주기위4주。결과：치료후，치료조총유효솔위92.9%，고우대조조위66.7%，차이유통계학의의（P<0.05）；치료후，치료조각증상적분균명현우우대조조，차이균유통계학의의（P<0.05）；량조적심공능급혈장BNP비교차이균유통계학의의（P<0.05）。결론：서의치료기출상가용강심음치료대기허수정형만성심쇠진행치료，효과명현，치득재림상추엄。
To observe the clinical curative effect of Qiangxin Decoction in treating chronic heart failure.Method:,78 patients with chronic heart failure admitted to our hospital from January 2011 to December 2013 were selected,they were randomly divided into the treatment group(n=42)and the control group(n=36),the control group used ACEI,diuretic,cardiac drugs such as routine treatment,the treatment group was treated with strong heart decoction on the basis of conventional treatment,the TCM syndrome integral,cardiac function,plasma levels of NT-proBNP were observed,the observation period of 4 weeks.Result:After treatment,total effective rate of the treatment group was 92.9%,higher than 66.7%of the control group,the difference was statistically significant(P<0.05);after treatment, the symptoms integral of the treatment group were significantly better than the control group,the difference had statistical significance(P<0.05);the heart function and plasma BNP between the two groups had statistical significance(P<0.05). Conclusion:The treatment of Western medicine combined with the strong heart decoction treatment of qi deficiency water stop type chronic heart failure treatment,obvious effect,it is worth in clinical promotion.
