中西医结合治疗慢性充血性心力衰竭的临床研究.pdfVIP

中西医结合治疗慢性充血性心力衰竭的临床研究 中 文 摘 要 中西医结合治疗慢性心力衰竭的临床研究 目的：比较中西医结合与单纯西医治疗慢性心力衰竭的疗效，探讨中西医结合治疗 慢性心力衰竭的机制，为临床应用提供理论依据。 方法：根据入院先后，将120例心力衰竭患者随机分为对照组和治疗组。对照组40 例，予西医常规强心扩血管利尿治疗，口服地高辛片、卡托普利片、双氢克尿噻片、螺 内酯片、美托洛尔片配合静滴硝酸甘油、速尿、西地兰等；治疗组80例，除上述治疗外 予补中益气丸,每次6粒,2次/ 日,15天为1个疗程，观察2~4个疗程，分别观察两组病人临 床症状改善情况、心率变化、6分钟步行距离及心脏彩超射血分数、左室收缩末期内径、 左室舒张末期内径。所有资料均输入计算机，采用四川大学华西公共卫生学院编制的 PEMS 3.1版统计学软件进行统计。采用两样本t检验进行统计分析。以p 0.01为差异有 显著性；p0.05为具有统计学意义。 结果：治疗组显效58例，有效17例，无效5例，总有效率93.75%；对照组显效14例， 有效18例，无效8例,总有效率80.0%；两组经统计学处理,差异有统计意义(p 0.05) ，中西 医结合治疗慢性充血性心力衰竭疗效肯定。 结论：中西医结合治疗慢性心力衰竭疗效肯定，优于单纯西医治疗。长期服用可提 高患者活动能力及生活质量。 关键词：慢性心力衰竭；中西医结合；补中益气丸 3 中西医结合治疗慢性充血性心力衰竭的临床研究 ABSTRACT clinical research on chronic heart failure with traditional Chinese and western medicine Combination Objective ：To compare the effect of chronic heart failure treated with traditional chinese with Western medicine combination and Western medicine. And explore the mechanism chinese with Western medicine combination used in the treatment of chronic heart failure ,And provide a theoretical basis for the clinical practice. Methods ：One hundred-twenty chronic heart failure patients were randomly divided into the control group (n=40) and treat group (n=80) .There were given cardiac diuretic and dilatation blood vessel what oral Digoxin Hydrochlorothiazide Captopril Spironolactone Metoprolol Tartrate,and cooperated intravenous drip Nitroglycerin frusemide Cedi- lanid and so on. The patients in treat group were add ed the BuZhongYiQi pill.( one cours e for 15 days ) and were observed 2 to 4 courses . The clinical symptom, heart rate, walk d