| 强心汤对慢性心衰患者运动耐量影响的研究 |
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| 引用本文： | 温志浩,卢健棋,潘朝锌,何新兵. 强心汤对慢性心衰患者运动耐量影响的研究[J]. 中医药研究, 2014, 0(11): 1291-1293 |
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| 作者姓名： | 温志浩 卢健棋 潘朝锌 何新兵 |
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| 作者单位： | 广西中医药大学第一附属医院,广西南宁530023 |
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| 基金项目： | 广西中医药大学第一附属医院青年科研基金项目（No.GZYQJ2011029） |
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| 摘 要： | 目的 观察强心汤联合西药对慢性心力衰竭（CHF）患者运动耐量的影响.方法 选择CHF 患者150 例,随机分为对照组和治疗组,对照组给予单纯西药治疗,治疗组在对照组用药基础上加服强心汤.疗程为14 d.治疗前后采用6 min 步行试验对患者运动耐量进行评估,同时评估患者心脏彩超参数变化.结果 治疗组总有效率93.3%,明显高于对照组的81.3% （P 〈0.05）.治疗后,两组6 min 步行距离显著改善,且治疗组改善程度优于对照组（P 〈0.05）,治疗后治疗组左室射血分数优于对照组.结论在西药规范化治疗基础上加用强心汤对CHF 患者的运动耐量提高更为显著.
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| 关 键 词： | 慢性心力衰竭 强心汤 中西医结合 运动耐量 |
Effects of Qiangxin Decoction on Exercise Tolerance in Patients with Chronic Heart Failure |
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| Affiliation: | Wen Zhihao,Lu Jianqi,Pan Zhaoxin,et alThe First Hosipital,Guangxi University of Traditional Chinese Medicine(Nanning 530023),China |
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| Abstract: | Objective To investigate the effects of Qiangxin decoction（QXD）on exercise tolerance in patients with chronic heartfailure（CHF）.Methods One hundred and fifty patients with CHF were randomly divided into two groups：Control group treated byroutine treatment,and treatment group treated by routine treatment plus QXD for 14 days.The exercise tolerance was assessed bysix minute walk test（6 MWT）.The parameter changes of echocardiography was assessed.Results The total clinical effectiverate was 93.3% in treatment group,which was significantly higher than that in control group（81.3%,P 〈0.05）.After treatment,six mi- nute walking distance and the left ventricular ejection fraction（LVEF）in treatment group was better than that in control group（P 〈0.05）. Conclusion QXD and routine treatment could improve the exercise tolerance in patients with CHF. |
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| Keywords: | chronic heart failure Qiangxin decoction integrative medicine exercise tolerance |
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