中药综合干预治疗左心相关性肺动脉高压的疗效观察Therapeutic effect of comprehensive Chinese medicine intervention on left heart associated pulmonary hypertension.pdfVIP

提 要 目的：观察加味茯苓甘草汤对左心疾病所致的肺动脉高压气虚血瘀症的干预作 用，以验证益气温阳、涤痰逐瘀法治疗左心相关性肺动脉高压的临床可行性。方法： 60例患者随机分为两组。治疗组（30例）予常规西药治疗，加用加味茯苓甘草汤水 煎服，对照组（30例）予常规西药治疗。观察治疗前后临床症状、六分钟步行试验 及超声心动图等检查指标的变化。结果：中医综合证候总有效率治疗组90.0%，对照 组66.7%，治疗组优于对照组（R治疗 R对照）；同时治疗组临床症状、六分钟步行实验 和超声心动图肺动脉高压情况也较对照组明显改善。结论：加用具有益气温阳、涤痰 逐瘀作用的加味茯苓甘草汤比单纯西药治疗更能明显改善患者症状，降低肺动脉收缩 压，并提高运动耐量及生活质量，从而改善了左心相关性肺动脉高压的预后。 关键词 左心相关性肺动脉高压；气虚血瘀型；疗效观察 Effect Observation of ChineseMedicine IntegratedIntervention Effect Observation of ChineseMedicine IntegratedIntervention EEffffeeccttOObbsseerrvvaattiioonnooffCChhiinneesseeMMeeddiicciinneeIInntteeggrraatteeddIInntteerrvveennttiioonn CureLeftHeart-relatedPulmonaryHypertension CureLeftHeart-relatedPulmonaryHypertension CCuurreeLLeeffttHHeeaarrtt--rreellaatteeddPPuullmmoonnaarryyHHyyppeerrtteennssiioonn Speciality： Speciality： SSppeecciiaalliittyy：：Cardiopathy Author： Author： AAuutthhoorr：：Zhang Lei Tutor： Tutor： TTuuttoorr：：ProfessorCao Bin Abstract Abstract AAbbssttrraacctt Objective Objective OObbjjeeccttiivvee Observe flavored poria cocos liquorice decoction on left heart disease caused by deficiency of pulmonary hypertension, blood stasis syndrome role of intervention to verify the benefit, polyester phlegm and blood stasis Yang by method of correlation between left heart treatment of pulmonary hypertension clinical feasibility. Methods Methods MMeetthhooddss 60 cases were randomly divided into two groups. The treatment group (30 cases) for the conventional western medicine therapy, add with flavored poria cocos licorice fluids Fried clothes, and the control group (30 cases) for the conventional western medicine. Observed before and after treatment clinical symptoms, six minutes walk test