摘要
[目的]观察益气温阳汤联合西药治疗老年重症心力衰竭疗效。[方法]使用随机平行对照方法,将91例住院患者按病志号抽签法简单随机分为两组。对照组45例强心剂、利尿剂、他汀类药物、阿司匹林、ACRI类药物及β-受体阻滞剂。治疗组46例益气温阳汤(丹参I5g,桃仁9g,赤芍药12g,当归15g,桂枝6g,吴茱萸9g,黄芪24g,党参15g,陈皮12g,甘草炙6g;少尿、肢体发冷加白术、白芍;双下肢水肿加冬瓜皮、猪苓;胃肠道瘀血加陈皮、半夏;肺气肿严重加苏子),1剂/d,水煎200m L,早晚口服;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、左心室射血分数(LEVF)、每分钟搏出量(SV)、心输出量(CO)、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈30例,显效12例,无效4例,总有效率91.30%。对照组痊愈20例,显效13例,无效12例,总有效率73.33%。治疗组疗效优于对照组(P<0.05)。心功能指标两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]益气温阳汤联合西药治疗老年重症心力衰竭疗效满意,无严重不良反应,值得推广。
[Objective] To observe Yiqiwenyang soup combined with Western treatment of elderly with severe heart failure treatment. [Methods]Uses random parallel control method, 91 cases of hospitalized patients by disease Zhi No. balloting method is simple and randomized into two groups. The control group of 45 patients in the arm, diuretics, statins, aspirin, ACRi drugs and β- blockers. Treatment group of 46 patients Yiqiwenyang soup（Danshen i5 g, Taoren 9g, Chishaoyao 12 g, Danggui 15 g, Guizhi 6g, Wuzhuyu 9g, Huangqi 24 g, Dangshen 15 g, Chenpi 12 g,Zhigancao 6g; oliguria, cold extremities plus Baizhu,Baishao; lower extremity edema plus Dongguapi,Zhuling; gastrointestinal bleeding plus Chenpi,Banxia; severe emphysema soda Suzi）, a/d, decoction 200 m L, sooner or later oral; Western medicine with the control groups. 14 d for a course of continuous treatment. Observation of clinical symptoms, left ventricular ejection fraction（LEVF）, stroke volume（SV）, cardiac output（CO）, adverse reactions per minute. A course of treatment to determine efficacy. [Results] The cure 30 cases, effective in 12 cases, 4 cases, the total efficiency of 91.30%. Cured 20 cases in the control group, 13 cases, 12 cases, the total efficiency of 73.33%. Treatment group than in the control group（P〈0.05）. improve cardiac function in both groups（P〈0.01）, the treatment group than the control group improvement（P〈0.01）. [Conclusion] Yiqiwenyang soup combined with Western treatment of elderly with severe heart failure results were satisfactory, no side effects, it is worth promoting.
出处
《实用中医内科杂志》
2015年第5期107-109,共3页
Journal of Practical Traditional Chinese Internal Medicine
