【摘要】：目的:觀察強心通脈方聯(lián)合常規(guī)西藥治療心衰的臨床效果。方法:選取符合本研究標準的心衰患者共60例,將這些病例隨機分為實驗組與對照組,對照組(30例)給予西醫(yī)常規(guī)治療心衰的藥物,實驗組(30例)在此基礎(chǔ)上加服強心通脈方,每日一劑,治療周期為14天,觀察兩組實驗前后中醫(yī)證候積分、中醫(yī)證候療效、NYHA心功能分級、血漿BNP水平及心臟彩色多普勒指標(LVEDD、LVEF、E/A)變化,并經(jīng)相應(yīng)統(tǒng)計方法對結(jié)果進一步分析判定。結(jié)果:實驗組可明顯改善患者中醫(yī)證候、NYHA心功能分級,降低血漿BNP水平,改善患者LVEDD、LVEF、E/A等心臟彩色多普勒指標,并且其療效與對照組相比有顯著性差異。結(jié)論:在西藥常規(guī)治療基礎(chǔ)上加用強心通脈方可明顯改善充血性心力衰竭患者臨床癥狀、體征,提高患者的心功能,并且療效較單純西藥常規(guī)治療更佳。
[Abstract]:Objective: to observe the clinical effect of Qiangxin Tongmai recipe combined with routine western medicine in the treatment of heart failure. Methods: a total of 60 patients with heart failure were randomly divided into experimental group and control group. The control group (30 cases) was treated with traditional western medicine for heart failure. The experimental group (30 cases) was treated with Qiangxintongmai recipe once a day for 14 days. The TCM syndromes integral, TCM syndromes curative effect and NYHA cardiac function grading were observed before and after the experiment. The changes of plasma BNP level and cardiac color Doppler index (LVEDD,LVEF,E/A) were determined by statistical method. Results: the experimental group could obviously improve the TCM syndromes, NYHA cardiac function grading, decrease the plasma BNP level, improve the cardiac color Doppler indexes such as LVEDD,LVEF,E/A, and the curative effect was significantly different from that of the control group. Conclusion: the clinical symptoms, signs and cardiac function of patients with congestive heart failure were obviously improved by adding Qiangxintongmai decoction on the basis of routine treatment of western medicine, and the curative effect was better than that of routine treatment of western medicine alone.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R259

【參考文獻】

相關(guān)期刊論文 前10條

1 劉萍;張麗萍;;桂枝化學(xué)成分及心血管藥理作用研究[J];遼寧中醫(yī)雜志;2012年10期

2 楊志霞;林謙;馬利;;丹參對心血管疾病藥理作用的文獻研究[J];世界中西醫(yī)結(jié)合雜志;2012年02期

3 考玉萍;劉滿軍;袁秋貞;;附子化學(xué)成分和藥理作用[J];陜西中醫(yī);2010年12期

4 姜紅;葛均波;;心力衰竭流行病學(xué)特點[J];中國醫(yī)學(xué)前沿雜志(電子版);2010年01期

5 陳國輝;黃文鳳;;黃芪的化學(xué)成分及藥理作用研究進展[J];中國新藥雜志;2008年17期

6 王妍;貢濟宇;;葶藶子的化學(xué)成分及藥理作用研究[J];長春中醫(yī)藥大學(xué)學(xué)報;2008年01期

7 李帆;;溫陽利水、益氣活血法治療慢性充血性心力衰竭臨床觀察[J];中國中醫(yī)急癥;2006年11期

8 徐燕;楊愛東;唐靖一;張瑋;嚴世蕓;;嚴世蕓治療充血性心力衰竭的經(jīng)驗[J];上海中醫(yī)藥雜志;2006年10期

9 張忠;鐘曉玲;羅陸一;楊煥斌;;益氣溫陽、活血利水法對充血性心力衰竭患者神經(jīng)內(nèi)分泌因子的影響[J];江西中醫(yī)藥;2006年08期

10 封海波;;益氣溫陽法治療心力衰竭102例[J];中西醫(yī)結(jié)合心腦血管病雜志;2006年08期

，

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