中药汤剂联合中药足浴及耳穴压豆治疗慢性心力衰竭的临床观察.docVIP

中药汤剂联合中药足浴及耳穴压豆治疗慢性心力衰竭的临床观察 　　[摘要] 目的 观察中医药汤剂内服联合中药足浴及耳穴压豆对慢性心力衰竭患者的治疗效果。 方法 本研究共纳入2014年4月～2016年2月期间我院心内科住院的符合标准的慢性心力衰竭患者150例，对照组70例，使用单纯西药治疗，观察组80例，使用中西医结合治疗。对比观察两组治疗有效率、中医症状积分、脑利钠肽前体（NT-proBNP）、6 min步行试验、左室射血分数（LVEF）改善情况。 结果 两组患者的总有效率分别为77.1% 和92.5%，组间比较差异有统计学意义（P0.05）。 结论 中医整体治疗是对单纯西医治疗慢性心力衰竭的一个很好的补充治疗，有较好的临床疗效，值得在基层医院推广应用 [关键词] 心力衰竭；中医整体治疗；中医耳穴；中医足浴；中西医结合 [中图分类号] R259 [文献标识码] B [文章编号] 1673-9701（2016）23-0110-04 [Abstract] Objective To observe the therapeutic effect of congestive heart failure treated by decoction of traditional Chinese medicine combined with traditional Chinese medicine foot bath and auricular plaster therapy. Method A total of 150 cases of patients with heart failure in our hospital during the period of April 2014 to February 2016 were selected as the research objects， 70 cases in control group were treated with routine treatment of western medicine， 80 cases in observation group were treated with integrated traditional Chinese and western medicine treatment. Therapeutic efficiency， TCM symptom score， NT-proBNP， 6min walking test，LVEF improvement were observed in two groups. Results The total effective rates of the two groups were 77.1% and 92.5%， and there were significant differences between the two groups（P0.05）. Conclusion The holistic therapy of TCM is a very good supplement to the simple western medicine treatment of congestive heart failure，with good clinical effect，is worthy of promotion in primary hospitals. [Key words] Heart failure；Holistic therapy of TCM；Auricular plaster therapy；Foot bath of Chinese medicine；Combination of traditional Chinese and Western Medicine 慢性心力衰竭（congestive heart failure，CHF）是各种心脏疾病最终导致心功能不全的一种综合征， 是心血管疾病的最终表现，也是目前我国乃至世界性的重要公共卫生问题，我国于2007 年对10 个省市15518 名35～74 岁城乡居民的流行病学调查，结果显示我国的心力衰竭患病率为0.9%，即示我国在2007 年时就有420 万心力衰竭患者[1]。西医目前治疗手段难有重大突破。中医对慢性心力衰竭的治疗有自身的理论体系，通过辨证施治，目前可以运用的手段不仅限于口服中药，内外联合治疗操作简单、可行性强、疗效确切，能够为提高心衰患者的生活质量提供帮助。我们在临床工作中发现中西医综合治疗慢性心衰有较大的优势，现报道如下 1 资料与方法 　　1.1 一般资料 所有病例资料均来自于2014年4