康复运动联合中药足浴治疗气虚血瘀证慢性心力衰竭临床研究
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R541.6

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温岭市科技项目(2018C312034)


Clinical Study on Rehabilitation Exercise Combined with Foot Bath with Chinese Medicine for Chronic Heart Failure with Syndrome of Qi Deficiency with Blood Stasis
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    摘要:

    目的:观察康复运动联合中药足浴治疗气虚血瘀证慢性心力衰竭(慢性心衰) 的临床疗效。方法:将80 例气虚血瘀证慢性心衰患者随机分为对照组和观察组各40 例。2 组均给予西药常规治疗,包括血管紧张素转化酶抑制剂(ACEI)或血管紧张素Ⅱ受体阻滞剂(ARB) 类药物、β 受体阻滞剂、利尿剂、洋地黄制剂等,观察组在西药常规治疗的基础上给予康复运动联合中药足浴。治疗2 个月后,观察2 组治疗前后血浆B 型脑利钠肽(BNP) 水平、心功能[包括左室射血分数(LVEF)、左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)]、明尼苏达生活质量(LHFQ) 评分,并对心功能分级疗效及中医证候疗效进行评定。结果:观察组心功能分级疗效总有效率、证候疗效总有效率分别为90.00%、92.50%,对照组分别为75.00%、77.50%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组BNP、LVEDD、LVESD 及LHFQ 评分均较治疗前降低(P<0.05),LVEF 较治疗前增加(P<0.05);且观察组各项指标改善较对照组更显著(P<0.05)。结论:康复运动联合中药足浴治疗气虚血瘀证慢性心衰,可进一步改善患者的心功能及临床症状,提高患者生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of rehabilitation exercise combined with foot bath with Chinese medicine for chronic heart failure with syndrome of qi deficiency with blood stasis. Methods:A total of 80 cases of patients with chronic heart failure with syndrome of qi deficiency with blood stasis were randomly divided into the control group and the observation group, 40 cases in each group. Both groups were given routine western medicine treatments, such as angiotensin converting enzyme inhibitor(ACEI) or angiotensin Ⅱ receptor blocker(ARB) drugs, β- blocker, diuretics, and digitalis preparation. The observation group was additionally given rehabilitation exercise combined with foot bath with Chinese medicine based on the treatment of the control group. Before treatment and after two-month treatment,cardiac functional grading, the level of B- type brain natriuretic peptide(BNP) in plasma, the heart function [left ventricular ejection fraction (LVEF), left ventricular end- diastolic diameter(LVEDD), and left ventricular end- systolic diameter(LVESD)], Chinese medicine syndrome scores,the score of Minnesota living with heart failure questionnaire(LHFQ) were observed in the two groups. After two- month treatment,the curative effect of cardiac functional grading and Chinese medicine syndrome was evaluated. Results:The total effective rate of the curative effect of cardiac functional grading was 90.00% in the observation group and 75.00% in the control group,and the total effective rate of the curative effect of Chinese medicine syndrome was 92.50% in the observation group and 77.50% in the control group,the difference being significant(P<0.05). After treatment, scores of BNP,LVEDD,LVESD,and LHFQ in the two groups were decreased when compared with those before treatment (P<0.05),and scores of LVEF were increased(P<0.05);the improvement of each index above in theobservation group was more significant than that in the control group(P<0.05). Conclusion:In the treatment of chronic heart failure with syndrome of qi deficiency with blood stasis,the therapy of rehabilitation exercise combined with foot bath with Chinese medicine can further improve the heart function and relieve clinical symptoms,as well as enhance quality of life.

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陈慧,吴利云,苏丽丽.康复运动联合中药足浴治疗气虚血瘀证慢性心力衰竭临床研究[J].新中医,2021,53(16):58-62

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  • 在线发布日期: 2021-08-23
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