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1、温阳活血法治疗慢性心力衰竭临床特征分作者简介:田俊(1958”),男,毕业于湖北中医药大学,主任医师,医学硕士,现工作于上海市浦东新区中医医院(邮编:200136);乌卩渊敏、吴敏雨、谈宏强、黄盛娜、丁雪华、曹燕,工作于上海市浦东新区中医医院。摘要:目的观察温阳活血法对慢性心力衰竭的临床疗效。方法将100例慢性心力衰竭病人随机分为治疗组和对照组,各50例。对照组给予常规抗心力衰竭治疗(血管紧张素转换酶抑制剂或血管紧张素受体拮抗剂、β受体阻滞剂、血管扩张剂、利尿剂、强心剂等药物),治疗组在对照组治疗基础上加用温阳活血为主的温阳益气活血汤,疗程4周。观察两组治疗前后中医
2、临床症状与体征、纽约心脏病协会(NYHA)心功能分级变化,应用彩色多普勒测定两组每搏输出量(SV)、心输出量(C0)、心脏指数(CI)、左室射血分数(LVEF)、左室短轴缩短率(FS)、左室舒张末内径(LVEDD),测定血清脑钠肽(BNP)浓度。结果治疗组总有效率94%,优于对照组的78%(P<;O.05)o两组治疗后SV、CO、CI、LVEF、LVEDD.BNP较治疗前均有明显改善,但治疗组优于对照组(P<;0.05)。结论温阳活血法对慢性心力衰竭具有确切的疗效,对心功能各项指标均具有明显的改善作用。关键词:慢性心力衰竭;温阳活血法;左室射血分数;左室舒张末内径;血
3、清脑钠肽中图分类号:R541.6R289.5文献标识码:B文章编号:16721349(2012)08089703ClinicalObservationonYangwarmingandBloodactivatingTherapyforChronicHeartFailure毕业论文TianJun,WuYuanmin,WuMinyu,etalShanghaiPudongNewAreaHospitalofTraditionalChineseMedical(Shanghai200136)Abstract:ObjectiveToinvestigatetheeffectsofyangwar
4、mingandbioodactivatingtherapyinthetreatmentofchronicheartfailure(CHF).MethodsOnehundredpatientswithCHFwererandomlydividedintotwogroups:Controlgroup(n=50)treatedbyconventionalantiheartfailuretreatment(angiotensinconvertingenzymeinhibitorsorangiotensinreceptorblockers,&beta;blockers,vasodilat
5、ors,diuretics,inotropic),treatmentgroup(n=50)treatedbyconventionalantiheartfailuretreatmentandWenyangYiqiHuoxuedecoctionfor4weeks.ThetraditionalChinesemedicalsymptoms,NewYorkHeartAssociation(NYHA)heartfunctionclassificationwereobserved・Thesystolievolume(SV),cardiacoutput(CO),cardiacindex(CI
6、),leftventricularejectionfraction(LVEF),fractionalshorteningofleftventricularshortaxis(FS),andleftventricularenddiastolicdiameter(LVEDd)wereobserved.ThelevelofplasmaBtypenatriureticpeptide(BNP)wasdetested.ResultsThetotaleffectiveratewas94%intreatmentgroup,whichwassignificantlyhigherthanthat
7、incontrolgroup(78%,P<0.05)・ThelevelsofSV,CO,CI,LVEF,LVEDD,andBNPintreatmentgroupwerebetterthanthatincontrolgroup(P<0.05).ConelusionYangwarmingandbloodactivotingtherapywaseffectiveforCHF,whichcouldimproveheartfunction・论文代写Keywords:chronicheartfailure;yang