健脾祛痰方改善心力衰竭患者胃肠功能不全的探究.pdfVIP

提 要 目的：本课题拟通过临床观察，来探讨健脾和胃、化痰利湿(健脾祛痰方)改善心 力衰竭患者胃肠道功能的作用，借以评价健脾祛痰法对慢性心力衰竭临床症状的影 响，丰富慢性心力衰竭的临床辩证治疗。 方法：随机选择心力衰竭心脾两虚、痰湿中阻型患者60例，随机分为观察组(30 例)和对照组(30例)，分别予以健脾祛痰方加西药和单纯西药治疗，4周后观察疗效。 结果：心力衰竭总有效率观察组为70.0%，对照组为56.7%，观察组优于对照组（P ＜0.05）；胃肠功能不全总有效率观察组为90.0%，对照组为63.3%，观察组明显优于 对照组（P＜0.01）；中医证候疗效，观察组总有效率90.0%，对照组为70.0%，观察 组明显优于对照组（P＜0.01）。 结论：健脾祛痰方能有效提高心力衰竭患者胃肠功能，并且对心力衰竭也有确切 的疗效。 关键词 心力衰竭；健脾祛痰方；临床研究；中医药治疗 The research on effectiveness of Jianpi qutan recipe on improving gastrointestinal function for heart failure patients Speciality：Internal medicine of TCM Author ：Wang Daitao Tutor：Pro.Su Wen Ge Abstract Purpose: The objective of this paper is to explore effectiveness of spleen appetizers and phlegm dampness( Jianpi qutan Prescription), on improving gastrointestinal function for heart failure patients , enriching chronic heart failure failures clinical dialectical treatment Methods:Randomly selected 60 heart failure patients with type of Xin-pi liangxu and tanshi zhongzu,were randomly divided into experimental group (30 cases) and control group (30 cases), separately given treatment off Jianpi qutan Prescription with western medicine and western medicine alone,Effects were observed after 4 weeks. Results:The total efficiency of heart failure ,the experimental group was 70.0%, the control group was 56.7%, the experimental group was better than the control group (P 0.05);The total efficiency of gastrointestinal dysfunction, the experimental group was 90.0%, the control group was 63.3%.The experimental group was better than the control group (P 0.01); The total efficiency of TCM Syndrome, the experimental group was 90.0%, the control group was 7