首页|参元益气活血汤加减辅助治疗慢性心力衰竭的效果及对氧化应激指标的影响

参元益气活血汤加减辅助治疗慢性心力衰竭的效果及对氧化应激指标的影响

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目的 探讨参元益气活血汤加减辅助治疗慢性心力衰竭的效果及对氧化应激指标的影响.方法 选取2022年2月至2023年2月收治的312例慢性心力衰竭患者为研究对象,以随机数字表法将其分为对照组和观察组,各156例.对照组采取常规西药治疗,观察组在对照组基础上加参元益气活血汤加减治疗.比较两组的治疗效果.结果 观察组的治疗总有效率明显高于对照组(P<0.05).治疗后,观察组的超氧化物歧化酶(SOD)水平高于对照组,丙二醛(MDA)、过氧化脂质(LPO)水平低于对照组(P<0.05).治疗后,观察组的左室射血分数(LVEF)高于对照组,N末端脑钠肽前体(NT-proBNP)水平低于对照组(P<0.05).治疗后,观察组的6 min步行距离长于对照组,运动峰耗氧量(PVO2)、每搏耗氧量(VO2/HR)高于对照组(P<0.05).结论 参元益气活血汤加减辅助治疗慢性心力衰竭的效果满意,可改善心功能,调节氧化应激指标,也能提高运动耐量,值得推广.
Effect of modified Shenyuan Yiqi Huoxue decoction in the adjuvant treatment of chronic heart failure and its influences on oxidative stress indexes
Objective To explore the effect of modified Shenyuan Yiqi Huoxue decoction in the adjuvant treatment of chronic heart failure and its influences on oxidative stress indexes.Methods A total of 312 patients with chronic heart failure admitted from February 2022 to February 2023 were selected as the research objects and divided into control group and observation group by random number table method,with 156 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with modified Shenyuan Yiqi Huoxue decoction on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).After treatment,the superoxide dismutase(SOD)level of the observation group was higher than that of the control group,and the levels of malondialdehyde(MDA)and lipid peroxide(LPO)were lower than those of the control group(P<0.05).After treatment,the left ventricular ejection fraction(LVEF)of the observation group was higher than that of the control group,and the level of N-terminal pro-brain natriuretic peptide(NT-proBNP)was lower than that of the control group(P<0.05).After treatment,the 6 min walking distance of the observation group was longer than that of the control group,and the peak oxygen consumption(PVO2)and oxygen uptake to heart ratio(VO2/HR)were higher than those of the control group(P<0.05).Conclusion The modified Shenyuan Yiqi Huoxue decoction in the adjuvant treatment of chronic heart failure has satisfactory effect,it can improve cardiac function,regulate oxidative stress indexes,and elevate exercise tolerance,which is worth promoting.

Shenyuan Yiqi Huoxue decoctionchronic heart failureoxidative stresscardiac function

屈增强、沈海涛、李垚

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宝鸡市凤翔区中医医院内二科,陕西宝鸡,721400

宝鸡市人民医院心内二科,陕西宝鸡,721000

参元益气活血汤 慢性心力衰竭 氧化应激 心功能

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(22)