益气泻肺利水方治疗慢性心力衰竭的临床研究

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1、授予单位代码10089学号或申请号20152402中国图书分类号R2-256.2HebeiMedicalUniversity硕士学位论文学术学位益气泻肺利水方治疗慢性心力衰竭的临床研究研究生：魏艳伟导师：苗华为教授专业：中医内科学二级学院：河北省中医院2018年3月目录中文摘要····································································································1英文摘要··················································

2、··················································3研究论文益气泻肺利水方治疗慢性心力衰竭的临床研究前言····································································································6材料与方法························································································6结果····················

3、··············································································10附表··································································································11讨论··································································································14结论········

4、··························································································22参考文献··························································································22附录··································································································26综述慢性

5、心力衰竭的中医药治疗······················································28致谢··········································································································38个人简历··································································································39中文摘要益气泻肺利水方治疗慢

6、性心力衰竭的临床研究摘要目的：本研究是观察在常规西药治疗的基础上加用益气泻肺利水方治疗慢性心力衰竭(congestiveheartfailure,CHF)的临床疗效与安全性，为中西医结合治疗慢性心力衰竭提供新的思路和方法。方法：本试验严格遵守中医、西医诊断标准及纳排标准，按照美国纽约心脏病学会(NYHA)心功能分级标准，在河北省中医院的住院病房收集符合要求的、心功能为Ⅱ～Ⅳ级的，中医辨证为气虚血瘀水停证的慢性心衰患者60例。将该60例患者按随机对照原则分为治疗组和对照组，各30例。所有入组的患者均嘱其适当休息，并限制水分及钠盐的摄入，有其他伴随症状的患者根据病情调整用药。对照组按照

7、常规西药治疗，即给予呋塞米、螺内酯片、盐酸贝那普利片、酒石酸美托洛尔片等药物，根据患者病情制定个体化的治疗方案，调整用药；治疗组在常规西药治疗的基础上，加用益气泻肺利水方，即炙黄芪20g，党参10g，当归10g，丹参12g，川芎10g，桂枝6g，茯苓15g，车前子10g，葶苈子20g，桑白皮10g，苦杏仁10g。辨证论治加减用药；水煎服，日一剂，分早、晚两次温服。治疗2周为一疗程，观察两组患者治疗前后的症状、心功能分级、中医证候积分、6分钟步行试验(6MWT)距离、应