灸药结合治疗慢性心衰疗效观察

目的：观察温和灸结合西药治疗慢性心衰的临床疗效。方法：将60例符合纳入标准的慢性心衰患者随机分为2组,每组30例。治疗组采用温和灸结合常规西药治疗,对照组仅采用常规西药治疗。比较治疗后两组的临床疗效及心功能相关指标。结果：两组治疗后心率（Heart Rate, HR）、心输出量（Cardiac Output,CO）以及左心室射血分数（Left Ventricular Ejection Fraction, LVEF）较治疗前有显著改善（P〈0.01）,治疗组改善情况优于对照组（P〈0.01）。治疗组总有效率也优于对照组（P〈0.05）。提示两种治疗方案对慢性心衰均有效,但治疗组疗效较好。结论：温和灸结合西药治疗慢性心衰临床疗效优于单纯西药治疗。

Observation on clinical effects of moxibustion therapy plus medications for chronic heart failure

Objective

To observe the clinical effects in treatment of chronic heart failure with mild moxibustion plus medications.

Methods

Sixty cases with chronic heart failure who met the inclusion criteria were randomly divided into two groups, 30 cases in each group. The treatment group was treated with mild moxibustion plus routine medications and the control group was treated only with routine medications, for comparing the clinical effects and relevant indexes of heart functions between the two groups after the treatment.

Results

The heart rate (HR), cardiac output (CO) and left ventricular ejection fraction (LVEF) were obviously improved in the two groups after the treatment (P<0.01), better in the treatment group than those in the control group (P<0.01). The total effective rate was better in the treatment group than that in the control group (P<0.05), indicating that both therapeutic programs were effective for chronic heart failure, but the clinical effect was better in the treatment group.

Conclusion

The clinical effect is better in the treatment of chronic heart failure by mild moxibustion plus medications than by single application of medications.