光明中医
光明中醫
광명중의
GUANG MING JOURNAL TRADITIONAL CHINESE MEDICINE
2014年
9期
1854-1855,1858
,共3页
李图均%卢敬%卢少华%王建敏%陈安芳%刘宝国%李成申%春波%王晓艳%王燕
李圖均%盧敬%盧少華%王建敏%陳安芳%劉寶國%李成申%春波%王曉豔%王燕
리도균%로경%로소화%왕건민%진안방%류보국%리성신%춘파%왕효염%왕연
慢性心力衰竭%温阳益心汤%血液流变学
慢性心力衰竭%溫暘益心湯%血液流變學
만성심력쇠갈%온양익심탕%혈액류변학
Chronic heart failure%Wenyang Yixin decoction%Hemorheology
目的：观察温阳益心汤对慢性心力衰竭患者血液流变学的影响。方法将100例慢性心力衰竭患者随机分为观察组和对照组，每组各50例。在西医治疗的基础上，观察组采用温阳益心汤配合辨证施治加减用药，对照组采用参麦注射液30ml加5％葡萄糖注射液200 ml静脉滴注。所有患者均检测治疗前后血液流变学指标的变化。结果治疗后两组各项指标均呈下降趋势，观察组下降更明显，经统计学处理，有极显著性差异（ P＜0.01）。观察组在“全血低切粘度”、“血浆粘度”指标中与对照组治疗后比较，有显著性差异（P＜0.05），在“全血高切粘度”、“红细胞聚集指数”、“红细胞刚性指数”、“纤维蛋白原”指标中与对照组治疗后比较，有极显著性差异（ P＜0.01）。结论表明温阳益心汤治疗能改善慢性心力衰竭患者血液流变学指标，效果明显优于对照组。
目的：觀察溫暘益心湯對慢性心力衰竭患者血液流變學的影響。方法將100例慢性心力衰竭患者隨機分為觀察組和對照組，每組各50例。在西醫治療的基礎上，觀察組採用溫暘益心湯配閤辨證施治加減用藥，對照組採用參麥註射液30ml加5％葡萄糖註射液200 ml靜脈滴註。所有患者均檢測治療前後血液流變學指標的變化。結果治療後兩組各項指標均呈下降趨勢，觀察組下降更明顯，經統計學處理，有極顯著性差異（ P＜0.01）。觀察組在“全血低切粘度”、“血漿粘度”指標中與對照組治療後比較，有顯著性差異（P＜0.05），在“全血高切粘度”、“紅細胞聚集指數”、“紅細胞剛性指數”、“纖維蛋白原”指標中與對照組治療後比較，有極顯著性差異（ P＜0.01）。結論錶明溫暘益心湯治療能改善慢性心力衰竭患者血液流變學指標，效果明顯優于對照組。
목적：관찰온양익심탕대만성심력쇠갈환자혈액류변학적영향。방법장100례만성심력쇠갈환자수궤분위관찰조화대조조，매조각50례。재서의치료적기출상，관찰조채용온양익심탕배합변증시치가감용약，대조조채용삼맥주사액30ml가5％포도당주사액200 ml정맥적주。소유환자균검측치료전후혈액류변학지표적변화。결과치료후량조각항지표균정하강추세，관찰조하강경명현，경통계학처리，유겁현저성차이（ P＜0.01）。관찰조재“전혈저절점도”、“혈장점도”지표중여대조조치료후비교，유현저성차이（P＜0.05），재“전혈고절점도”、“홍세포취집지수”、“홍세포강성지수”、“섬유단백원”지표중여대조조치료후비교，유겁현저성차이（ P＜0.01）。결론표명온양익심탕치료능개선만성심력쇠갈환자혈액류변학지표，효과명현우우대조조。
Objective To observed efficacy on Hemorheology of chronic heart failure patients treated with Wenyang Yixin decoction . Methods Patients with chronic heart failure in 100 cases were randomly divided into observed group and control group , 50 cases in each group.Based on the conventional treatment , observation group were given Wenyang Yixin decoction dialectical therapy drug addition and subtraction,while the control group were given SMI 30ml plus 5%glucose injection 200ml intravenous infusion.All patients before and after treatment were detected in change of Hemorheology .Results After treatment , the indicators showed a downward trend in both groups . Observation group decreased significantly more than control group , There was a significant difference between two groups .( P<0.01) .There were significant differences in full blood viscosity , plasma viscosity indicators between two groups after treatment .( P <0.05 ) .There were significant differences in high shear whole blood viscosity , erythrocyte aggregation index , erythrocyte rigidity index , fibrinogen indicators between two groups after treatment (P<0.01).Conclusions Wenyang Yixin decoction can improve hemorheology in patients with chronic heart failure .,which is significant .
