心康方膏方治疗慢性心力衰竭临床研究
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R541.6

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广东省中医药局重点项目(20151118)


Clinical Study on Xinkang Prescription Ointment for Chronic Heart Failure
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    摘要:

    目的:观察心康方膏方治疗慢性心力衰竭的临床效果。方法:将慢性心力衰竭患者104例按随机 数字表法分为膏方组和对照组,每组52例。5例受试者因失访等个人原因退出研究(膏方组1例,对照组 4例)。实际完成病例数99例,膏方组51例,对照组48例。对照组采用西医常规抗心力衰竭治疗,膏方组在对 照组治疗基础上加用心康方膏方治疗。治疗12周后,比较2组临床疗效及治疗前后B 型钠尿肽前体(NTproBNP) 、左室射血分数(LVEF)、6 min步行试验(6MWT)、明尼苏达生活质量(MLHFQ) 评分。结果:膏 方组总有效率为92.2%, 对照组为75.0%, 2 组比较, 差异有统计学意义(P<0.05)。治疗后, 2 组 NT-proBNP水平均较治疗前降低(P<0.05),LVEF水平均较治疗前升高(P<0.05);且膏方组NT-proBNP水 平低于对照组(P<0.05),LVEF水平高于对照组(P<0.05)。治疗后,2组6MWT距离较治疗前增加(P< 0.05),MLHFQ评分较治疗前降低(P<0.05);且膏方组6MWT距离长于对照组(P<0.05),MLHFQ评分低于 对照组(P<0.05)。结论:心康方膏方治疗慢性心力衰竭能够提高临床疗效,改善心功能,提高生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Xinkang Prescription Ointment on chronic heart failure. Methods:A total of 104 cases of patients with chronic heart failure were randomly divided into the ointment group and the control group using a random number table method,with 52 cases in each group. Five subjects withdrew from the study due to personal reasons such as fail to follow-up (one in the ointment group and four in the control group). The actual number of completed cases was 99 , with 51 cases in the ointment group and 48 cases in the control group. The control group received conventional western medicine treatment for heart failure, and the ointment group received additional treatment with Xinkang Poescription Ointment based on the control group's treatment. After 12 weeks of treatment, the levels of N-terminal pro-B type natriuretic peptide (NT proBNP), left ventricular ejection fraction (LVEF), 6-minute walk test (6MWT), and Minnesota Living with Heart Failure Questionnaire (MLHFQ) scores before and after treatment as well as the clinical effects were compared between the two groups. Results:The total effective rate was 92.2% in the ointment group,and 75.0% in the control group,the difference being significant (P<0.05). After treatment, the levels of NT proBNP in both groups were decreased when compared with those before treatment (P<0.05), and levels of LVEF were increased when compared with those before treatment (P<0.05); the NT proBNP level in the ointment group was lower than that in the control group (P<0.05),and the LVEF was higher than that in the control group (P< 0.05). After treatment,the 6MWT distance in both groups was increased when compared with that before treatment (P<0.05),and the MLHFQ scores were decreased when compared with those before treatment (P<0.05);the 6MWT distance in the ointment group was greater than that in the control group (P<0.05), and the MLHFQ score was lower than that in the control group (P<0.05). Conclusion:Xinkang Prescription Ointment can improve clinical efficacy,enhance heart function,and improve quality of life in patients with chronic heart failure.

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周信宇,叶小汉.心康方膏方治疗慢性心力衰竭临床研究[J].新中医,2024,56(24):36-40

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  • 在线发布日期: 2024-12-27
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