中西医结合对慢性心力衰竭康复治疗的作用

[目的]观察中西医结合对慢性充血性心力衰竭(CHF)康复治疗的作用。[方法]将90例CHF患者随机分为两组。对照组45例,予西医强心、利尿、减轻心脏负荷及运动康复训练。治疗组45例,在对照组治疗基础上根据中医辨证予以炙甘草汤加味治疗。均以1个月为1个疗程,共治疗3个疗程。[结果]总有效率、显效率治疗组分别为86.67%,37.78%,对照组分别为75.56%,26.67%,两组比较,治疗组优于对照组,差异均有显著性意义(P<0.05)。两组治疗后基础心率、6 min步行试验及左心室射血分数均有显著改善,与治疗前比较,差异有显著性或非常显著性意义(P<0.05,P<0.01);其中治疗后两组6 min步行试验比较,治疗组优于对照组,差异有显著性意义(P<0.05)。治疗后两组中医证候及Boston心力衰竭诊断标准积分均有明显改善,与治疗前比较,差异均有显著性意义(P<0.05)。[结论]在慢性心衰康复治疗中采用中西医结合疗法,应用中药炙甘草汤加味联合西药及心衰康复运动训练,能提高临床疗效,促进心衰患者的体能恢复,改善患者生存质量。

Rehabilitation therapeutic effects of integrated TCM and WM in patients with chronic cardiac failure

[Objective] To observe the rehabilitation management effect of traditional Chinese medicine(TCM) combined with Western medicine(WM) in patients with chronic cardiac failures.[Methods] Ninety patients with chronic cardiac failure were randomly divided into two groups.The 45 patients of control group were treated with drugs of strengthen heart,diuretic and reducing heart's load.At the same time they did a rehabilitation exercises.The 45 patients of treatment group were treated with Western medicine drugs,reha...