养心益肾温阳利水法结合常规西药治疗冠心病心力衰竭临床研究
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R541.4;R259

基金项目:


Clinical Study on Method of Nourishing the Heart,Boosting the Kidney,Warming Yang and Promoting Urination Combined with Routine Western Medicine for Heart Failure Caused by Coronary Heart Disease
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察养心益肾温阳利水法结合常规西药治疗冠心病心力衰竭(心肾阳虚水泛证)的临床疗 效。方法:选取冠心病心力衰竭 (心肾阳虚水泛证) 患者 96 例,按随机数字表法分为对照组和观察组各 48 例,对照组脱落 2 例。对照组予以常规西药治疗,观察组在对照组基础上给予养心益肾温阳利水法治疗。 评价 2 组临床疗效,比较 2 组治疗前后中医证候评分、心功能指标、血清 N 末端脑钠肽前体(NT-proBNP)、 肌钙蛋白 I (cTnI)、血管紧张素Ⅱ (Ang Ⅱ) 水平,观察不良反应发生情况。结果:观察组总有效率为 93.75%,高于对照组 78.26%(P<0.05)。治疗后,2 组主症评分、次症评分和总分较治疗前降低(P<0.05), 且观察组主症评分、次症评分和总分低于对照组 (P<0.05)。治疗后,2 组左室射血分数 (LVEF)、心排 量 (CO) 较治疗前升高 (P<0.05),左室舒张末期内径 (LVEDD) 较治疗前降低 (P<0.05);且观察组 LVEF、CO 高于对照组 (P<0.05),LVEDD 低于对照组 (P<0.05)。治疗后,2 组血清 NT-proBNP、cTnI、 Ang Ⅱ水平较治疗前降低 (P<0.05),且观察组血清 NT-proBNP、cTnI、Ang Ⅱ水平低于对照组(P<0.05)。 2 组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:养心益肾温阳利水法结合常规西药治疗冠心 病心力衰竭 (心肾阳虚水泛证) 可减轻患者临床症状,降低血清 NT-proBNP、cTnI、Ang Ⅱ水平,改善心 功能。

    Abstract:

    Abstract:Objective:To observe the clinical effect of method of nourishing the heart,boosting the kidney,warming yang and promoting urination combined with routine western medicine for heart failure caused by coronary heart disease (edema due to heart-kidney yang deficiency syndrome). Methods:A total of 96 cases of patients with heart failure caused by coronary heart disease (edema due to heart-kidney yang deficiency syndrome) were selected and divided into the control group and the observation group according to the random number table method,with 48 cases in each group. There were two cases of detachment in the control group. The control group was treated with routine western medicine,and the observation group was additionally treated with method of nourishing the heart, boosting the kidney, warming yang and promoting urination based on the treatment of the control group. The clinical effects in the two groups were evaluated. Before and after treatment,the traditional Chinese medicine syndrome scores,and levels of heart function indexes,N-terminal pro-B-type natriuretic peptide (NT-proBNP),cardiac troponin I (cTnI), and angiotensin-Ⅱ (Ang-Ⅱ) in the two groups were compared. The incidence of adverse reactions were observed. Results: The total effective rate was 93.75% in the observation group, higher than that of 78.26% in the control group (P<0.05). After treatment, the scores of main symptoms and secondary symptoms as well as the total scores in the two groups were decreased when compared with those before treatment (P<0.05), and the scores of main symptoms and secondary symptoms as well as the total scores in the observation group were lower than those in the control group (P<0.05). After treatment,left ventricular ejection fraction (LVEF) and cardiac output (CO) in the two groups were increased when compared with those before treatment (P<0.05),and left ventricular end diastolic diameter (LVEDD) was decreased when compared with that before treatment (P<0.05);LVEF and CO in the observation group were higher than those in the control group (P<0.05),and LVEDD was lower than that in the control group (P<0.05). After treatment,the levels of NT-proBNP,cTnI,and Ang II in serum in the two groups were decreased when compared with those before treatment (P<0.05),and the levels of NT-proBNP,cTnI, and Ang II in serum in the observation group were lower than those in the control group (P<0.05). There was no significant difference being found in the comparison of incidence of adverse reactions between the two groups (P>0.05). Conclusion:The method of nourishing the heart,boosting the kidney,warming yang and promoting urination combined with routine western medicine for heart failure caused by coronary heart disease (edema due to heart-kidney yang deficiency syndrome) can alleviate clinical symptoms of patients,reduce levels of NT-proBNP,cTnI,and Ang II,and improve heart function.

    参考文献
    相似文献
    引证文献
引用本文

王宝宝,王晓娟.养心益肾温阳利水法结合常规西药治疗冠心病心力衰竭临床研究[J].新中医,2023,55(15):54-58

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2023-08-13
  • 出版日期: