炙甘草汤加减配合胺碘酮治疗慢性心力衰竭312例疗效观察.docVIP

炙甘草汤加减配合胺碘酮治疗慢性心力衰竭312例疗效观察 　　doi：10.3969/j.issn.1007-614x.2014.15.63 　　摘 要 目的：观察炙甘草汤加减配合胺碘酮治疗慢性心力衰竭情况。方法：将慢性心力衰竭患者312例按随机数字表法分为观察组160例（炙甘草汤加减配合胺碘酮组）与对照组152例（胺碘酮组）。随访6个月，观察两组总有效率和复发率情况。结果：观察组总有效率98%，复发率10.22%；对照组总有效率82%，复发率32.9%。两者差异有统计学意义（P0.05）。结论：在预防慢性心力衰竭的复发方面，炙甘草汤加减配合胺碘酮优于单纯应用胺碘酮，值得在临床中推广应用。 　　关键词 中西医结合 心力衰竭 疗效观察 　　Curative effect observation of Zhi Gan Cao decoction adjusted with amiodarone in the treatment of 312 cases of chronic cardiac failure 　　Li Yuhong，Wang Lina，Cui Qian 　　The Traditional Chinese Medicine Hospital of Qingzhou City，Shandong 262500 　　Abstract Objective：To observe Zhi Gan Cao decoction adjusted with amiodarone in the preventment of recurrence of chronic cardiac failure.Methods：According to random number table method，312 patients with chronic cardiac failure were divided into the observation group in 160 cases（Zhi Gan Cao decoction adjusted with amiodarone group）and the control group in 152 cases（amiodarone group）.After 6 months of follow up，the recurrence rates of premature beat in the two groups were observed.Results：In the observation group，the total effective rate was 98%，and the recurrence rate was 10.22%.In the control group， the total effective rate was 82%， and the recurrence rate was 32.9%.The difference was statistically significant（P0.05）.Conclusion：In the preventment of recurrence of chronic cardiac failure，Zhi Gan Cao decoction adjusted with amiodarone is better than the simple application of amiodarone.It is worth of popularization and application in clinical. 　　Key words Combine traditional Chinese and western medicine；Chronic cardiac failure；Curative effect observation 　　近年来，笔者运用炙甘草汤加减配合胺碘酮治疗慢性心力衰竭312例，效果满意，现报告如下。 　　资料与方法 　　2009年3月-2013年4月收治慢性心力衰竭患者312例，按随机数字表法分为观察组和对照组，其中观察组160例，年龄52～81岁，平均60.2岁。病程5～14年，平均7.74年；对照组152例，年龄51～82岁，平均60.6岁。病程5～15年，平均7.76年。两组在性别、年龄、病程及基础治疗方面差异均无统计学意义（P0.05），具有可比性。所有病例均按照《实用内科学》命名及诊断标准，并排除甲状腺功能亢进、肝肾功能不全、心脏手术史、病态窦房结综合征等疾病[1]。 　　治疗方法：在治疗原发病的基础上，观察组给予中药（炙甘草30g，人参12g，丹参20g，桂枝9g，熟附子9g，黄