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中西医结合治疗轻、中度充血性心力衰竭的临床研究
引用本文:何焕友,赵惟呈,徐玉花,李淑霞.中西医结合治疗轻、中度充血性心力衰竭的临床研究[J].中国中西医结合杂志,2000,20(5):344-346.
作者姓名:何焕友  赵惟呈  徐玉花  李淑霞
作者单位:1. 山东临沂医学高等专科学校,山东,276002
2. 山东临沂市中医医院
基金项目:山东省卫生厅攻关计划课题(No.953023)
摘    要:目的:观察中药联合卡托普利和倍他乐克治疗轻、中度充血性心力衰竭的疗效。方法:将150例患者随机分为3组,A组单用中药治疗,B组单用西药卡托普利加倍他乐克,C组中西药联合应用;3组均在用药后3周和3个月分别观察心功能各项指示。结果:(1)心功能总有效率A组为72%,B组为86%,C组为94%。(2)超声心动图左室舒张末期内径C组较A、B两组明显缩小(P〈0.05)。(3)射血分数C线比A、B两组有显

关 键 词:充血性心力衰竭  中西医结合治疗  临床研究
修稿时间:1999年1月5日

Clinical Study on Treatment of Mild-Middle Degree Congestive Heart Failure with Integrated Traditional Chinese and Western Medinine
Authors:HE Huanyou  ZHAO Weicheng  XU Yuhua  
Institution:High School of Medicine, Linyi, Shandong (276002).
Abstract:To evaluate the effect of combined use of Chinese herbal medicine, Captopril and Metoprolol in treating mild-middle degree congestive heart failure. Methods: One hundred and fifty patients studied were divided into 3 groups, the Group A treated with Chinese herbal medicine, Group B treated with Captopril plus Metoprolol and Group C treated with both Chinese and western medicines. Parameters on cardiac functions were observed and compared 3 waks and 3 months after treatment respectively. Result8: (1) The cure rate in the Group A, B and C was 72 %, 86% and 94 % respectively. (2) Effect of echocardiogram: ultrasound cardiogram showed that the left ventricular diastolic diameter in Group C was less significantly than that in Group A and B (P < 0. 05). (3) The eject fraction in Group C was higher than that in the other two groups (P<0. 05). (4)The 24 hours dynamic electrocardiogram demonstrated a significant lowering occurrence of ventricular premature contraction in Group C in comparing with that in Group A and B (P < O. o5). Conclusion: Good effect would be expected in treating mild-midd1e degree congestive heart failure by using Chinese herbal medicine combined with Captopril and Metoprolol.
Keywords:heart failure  integrated traditional Chinese and western medicine  resting heart rate  blood pressure  echocardiogram  24 hours dynamic electrocardiographic monitoring
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