中药抗心衰合剂治疗气虚血瘀阳虚水泛型充血性心力衰竭临床探究.doc

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1、中药抗心衰合剂治疗气虚血瘀阳虚水泛型充血性心力衰竭临床探究［摘要］目的评价温阳利水合剂对气虚阳虚血瘀型充血性心力衰竭患者的中医证候疗效、心功能分级等指标的干预作用和作用机制。方法选取我院2009年1月〜2010年1月住院及门诊治疗的慢性充血性心力衰竭患者70例，将其随机分为对照组与实验组，每组各35例。对照组给予西药基础治疗，实验组在西药治疗基础上加用温阳利水合剂，两组均治疗30d,比较治疗后两组心功能及症状改善情况。结果两组治疗后心功能级别改善情况比较(Z=-2.495,P=0.013),实验组心功能分级改善总有效率与对照组比较(91.4%vs71.4%),差异有统计学意义(x2二4.

2、629,P=0.031),实验组优于对照组。结论在常规西药治疗的基础上，联用温阳利水合剂治疗慢性充血性心力衰竭的效果优于常规西药治疗，中西医结合治疗方案具有一定的临床应用前景。［关键词］中药抗心衰合剂；慢性充血性心力衰竭；疗效［中图分类号］R541.61［文献标识码］A［文章编号］1673-7210(2012)01(c)-0104-02ClinicalresearchontraditionalChinesemedicinemixtureofheartfailureinthetreatmentofcongestiveheartfailureofthesyndromeofqideficien

3、cywithbloodstasisandyangdeficiencywithwaterfloodLIHuaInternalMedicine,OrthopaedicHospitalofLoudiCity,Hu'nanProvince,Loudi417000,China[Abstract]ObjectiveToevaluatethecurativeeffectsoninterventionsandmechanismofactionofWarmYangandDissipateWaterMixtureinthetreatmentofcongestiveheartfailureofthesyndr

4、omeofqideficiencywithbloodstasisandyangdeficiencywithwaterflood.Methods70patientswhoweretreatedfromJanuary2009toJanuary2010wereselectedastherespondents・Theywererandomlydividedintocontrolgroupandexperimentgroup,with35casesineachgroup・PatientsincontrolgroupweretreatedbybasisWesternmedicine.Patients

5、inexperimentgroupweretreatedbyWarmYangandDissipateWaterMixturecombinedbasisWesternmedicine・Bothgroupsweretreated30d.Theheartsfunctionandsymptomsimprovementsituationoftwogrougsaftertreatmentwerecompared・ResuItsComparisonofheartfunctionimpTovement(Z=一2.495,P=0.013)andtheimprovedrate(91.4%vs71.4%),t

6、hedifferencesbetweentwogroupswerestatisticallysignificance(x2=4.629,P=0.031),theresultsoftheexperimentgroupwasbetterthanthatofcontrolgroup・ConclusionTheeffectsofWarmYangandDissipateWaterMixturebasedonWesterntreatmentarebetterthanconventionalWesternmedicinetherapyinthetreatmentofchroniccongestedhe

7、artfailure・ThetherapeuticscheduleoftraditionalChinesemedicinecombineWesternmedicinehasacertainapplicationprospectinclinicaltreatment・[Keywords]WarmYangandDissipateWaterMixture；Chroniccongestedheartfailure；Curativeeffec