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加味血府逐瘀汤合并西药治疗慢性充血性心力衰竭60例临床观察
引用本文:杨元庆,陈玲.加味血府逐瘀汤合并西药治疗慢性充血性心力衰竭60例临床观察[J].中医杂志,2011,52(1):39-41.
作者姓名:杨元庆  陈玲
作者单位:天津市中医药研究院附属医院针灸科,天津市红桥区北马路354号,300120
摘    要:目的探讨加味血府逐瘀汤合并西药治疗慢性充血性心力衰竭的临床疗效。方法将120例慢性充血性心力衰竭患者随机分为治疗组和对照组各60例。对照组常规剂量服用硝酸酯类及血管紧张素转换酶抑制剂;治疗组在西药常规治疗的基础上,加服加味血府逐瘀汤,两组患者均在治疗前和治疗2个疗程后分别观察左心室舒张末期容积、收缩末期容积、每搏输出量(SV)及左室射血分数(EF),并检测内皮素(ET)、醛固酮(ALD)、血管紧张素(Ang)和心钠素(ANP),比较两组疗效。结果治疗后两组患者左室收缩末期容积、左室舒张末期容积、SV及EF均优于治疗前(P<0.05);治疗后治疗组左室收缩末期容积、SV及EF均优于对照组,差异具有统计学意义(P<0.05)。治疗后两组ET和Ang水平均明显下降(P<0.05),ALD和ANP水平无明显下降(P>0.05);治疗后治疗组ET和Ang水平较对照组下降明显(P<0.05),且治疗组临床疗效优于对照组(P<0.05)。结论加味血府逐瘀汤合并西药治疗慢性充血性心力衰竭疗效肯定,并优于单纯西药常规治疗。

关 键 词:加味血府逐瘀汤  充血性心力衰竭  疗效评价

Effect of Modified Xuefu Zhuyu Decoction plus Western Medicine on Chronic Congestive Heart Failure:A Clinical Observation of 60 Cases
YANG Yuanqing,CHEN Ling.Effect of Modified Xuefu Zhuyu Decoction plus Western Medicine on Chronic Congestive Heart Failure:A Clinical Observation of 60 Cases[J].Journal of Traditional Chinese Medicine,2011,52(1):39-41.
Authors:YANG Yuanqing  CHEN Ling
Institution:YANG Yuanqing,CHEN Ling(Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine,Tianjin 300120)
Abstract:Objective To explore the effect of modified Xuefu Zhuyu Decoction (herbal decoction for removing blood stasis) plus western medicine on chronic congestive heart failure.Methods Totally 120 cases were randomized into two groups with 60 in each.The control group was treated with western medicine including nitrates and angiotensin converting enzyme inhibitor (ACEI) in routine dosage,based on which,the treatment group was administered modified Xuefu Zhuyu Decoction.Before treatment and after 2 courses of treatm...
Keywords:Modified Xuefu Zhuyu Decoction (herbal decoction for removing blood stasis)  congestive heart failure  effect evaluation  
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