慢性心力衰竭阴虚病机的多因素分析-中医内科学专业毕业论文.docxVIP

摘要附：养心方对心衰大鼠血流动力学的影响 摘要 附：养心方对心衰大鼠血流动力学的影响 目的 通过动物实验观察养心方对心衰大鼠的血流动力学的影响。 方法 通过缩窄腹主动脉建立压力负荷性心衰大鼠，分别采用养心方高剂量药剂、低剂 量药剂和培哚普利治疗心衰大鼠，探讨益气养阴方药对心衰大鼠的血流动力学的影 响。 结果 养心方是益气养阴方，与西药培哚普利疗效一致，具有降低心衰时的LVEDP，升高 一dp／dt一，LVSP、+dp／dt～的作用，说明其具有改善慢性心衰血流动力学指标及保护 心脏的作用，其结论有待进一步临床证实。 结论 动物实验研究发现养心方能改善心衰大鼠血流动力学指标，改善心脏收缩和舒张 功能，提示益气养阴方药在防治心衰中的重要作用，对临床用药有一定的指导价值． The The Study on The Factor AnaIysis of Yin Deficiency Syndrome of Chronic Heart Fa．Iure SpeoiaI ity：InternaI Medioine of TCM Author：Dang Xiu Juan Tutor：Li Nan Yi Abstract Objective To study the related clinical factor of Yin-deficiency syndrome of chronic heart failure，and elucidate the importance of Yin—deficiency syndrome to the occurrence，development and prognosis of heart failure． Method 148 cases that had been confirmed to be C肝were frON the medical records room or ward with the patients’clinical symptoms，signs and related results，and all the collected cases were saved and managed by certain data base software． The cases were divided into three or two groups．*the typical Yin-deficiency syndrome，the Non typical Yin—deficiency syndrome，Non Yin-deficiency syndrome；or Yin--deficiency syndrome and Non Yin--deficiency syndrome．The cases were underwent Chi—square test，ANOVA,Logistic regression，Discriminant analysis to compare each other or set statistic equation． Results ①The incidence of average CHF was 51．9％，and serious CHF was 44．4％in the typical Yin-Deficiency syndrome，and the incidence of average cHF was the highest(72．5％)in the Non typical Yin-deficiency syndrome．Witch showed that the Yin-deficiency syndrome often happened with average or serious CHF cases． 1：i》The Yin—Deficiency syndrome related nearly with cardiac function grade， the typical Yin-deficiency syndrome cases most happened with cardiac function grade IV，the Non typical Yin deficiency syndrome most appeared with cardiac function gradeⅢ．and the Yin-Deficiency syndrome rarely appeared with cardiac function gradeⅡ：though the Non-Yin deficiency syndrome mostly appear w