中西医结合心脑血管病杂志
中西醫結閤心腦血管病雜誌
중서의결합심뇌혈관병잡지
CHINESE JOURNAL OF INTEGRATIVE MEDICINE ON CARDIO-/CEREBROVASCULAR DISEASE
2014年
11期
1291-1293
,共3页
温志浩%卢健棋%潘朝锌%何新兵
溫誌浩%盧健棋%潘朝鋅%何新兵
온지호%로건기%반조자%하신병
慢性心力衰竭%强心汤%中西医结合%运动耐量
慢性心力衰竭%彊心湯%中西醫結閤%運動耐量
만성심력쇠갈%강심탕%중서의결합%운동내량
chronicheartfailure%Qiangxindecoction%integrativemedicine%exercise tolerance
目的:观察强心汤联合西药对慢性心力衰竭(CHF)患者运动耐量的影响。方法选择 CHF患者150例,随机分为对照组和治疗组,对照组给予单纯西药治疗,治疗组在对照组用药基础上加服强心汤。疗程为14 d。治疗前后采用6 m in步行试验对患者运动耐量进行评估,同时评估患者心脏彩超参数变化。结果治疗组总有效率93.3%,明显高于对照组的81.3%( P <0.05)。治疗后,两组6 m in步行距离显著改善,且治疗组改善程度优于对照组( P <0.05),治疗后治疗组左室射血分数优于对照组。结论在西药规范化治疗基础上加用强心汤对 CHF患者的运动耐量提高更为显著。
目的:觀察彊心湯聯閤西藥對慢性心力衰竭(CHF)患者運動耐量的影響。方法選擇 CHF患者150例,隨機分為對照組和治療組,對照組給予單純西藥治療,治療組在對照組用藥基礎上加服彊心湯。療程為14 d。治療前後採用6 m in步行試驗對患者運動耐量進行評估,同時評估患者心髒綵超參數變化。結果治療組總有效率93.3%,明顯高于對照組的81.3%( P <0.05)。治療後,兩組6 m in步行距離顯著改善,且治療組改善程度優于對照組( P <0.05),治療後治療組左室射血分數優于對照組。結論在西藥規範化治療基礎上加用彊心湯對 CHF患者的運動耐量提高更為顯著。
목적:관찰강심탕연합서약대만성심력쇠갈(CHF)환자운동내량적영향。방법선택 CHF환자150례,수궤분위대조조화치료조,대조조급여단순서약치료,치료조재대조조용약기출상가복강심탕。료정위14 d。치료전후채용6 m in보행시험대환자운동내량진행평고,동시평고환자심장채초삼수변화。결과치료조총유효솔93.3%,명현고우대조조적81.3%( P <0.05)。치료후,량조6 m in보행거리현저개선,차치료조개선정도우우대조조( P <0.05),치료후치료조좌실사혈분수우우대조조。결론재서약규범화치료기출상가용강심탕대 CHF환자적운동내량제고경위현저。
O bjective To investiga te the effects o fQ iangxin decoction(QXD) on exercise to lerance in pa tients w ith chronic heart fa ilure(CHF). M e thods O ne hundred and fifty pa tients w ith CHF w ere random ly divided into tw o g roups :C ontro l g roup trea ted by routine treatment,and treatment g roup trea ted by routine treatment plus QXD fo r 14 days. The exercise to lerance w as assessed by six m inute w a lk test( 6 MW T). The param e ter changes o f echocardiog raphy w as assessed. Results The total clinical effective rate w as 93.3% in treatment g roup,w hich w as significantly higher than tha t in controlgroup(81.3% ,P < 0.05). After treatment,six m i-nute w a lking distance and the left ventricular e jection fraction(LVEF) in treatment group w as better than that in controlgroup( P < 0.05). C onclusion QXD and routine treatment could im prove the exercise to lerance in pa tients w ith CHF.