首页|苓桂术甘汤加减联合5-单硝酸异山梨醇酯治疗慢性心功能不全患者的效果分析

苓桂术甘汤加减联合5-单硝酸异山梨醇酯治疗慢性心功能不全患者的效果分析

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目的:探讨苓桂术甘汤加减联合 5-单硝酸异山梨醇酯(IS-5MN)治疗慢性心功能不全(CCI)患者的临床效果。方法:选取 2021年 12月—2022年 12月菏泽市单县中医医院收治的 86例CCI患者为研究对象,采用随机数字表法将其分为对照组和研究组,各43例。对照组采用常规治疗,研究组采用苓桂术甘汤加减联合IS-5MN治疗。比较两组的临床疗效、中医证候积分、心功能及血清脑钠肽(BNP)水平。结果:研究组的总有效率为 97。67%,高于对照组的 83。72%,差异有统计学意义(P<0。05)。治疗后,研究组的中医证候积分低于对照组,左心室射血分数高于对照组,左心室舒张末期内径、左心室收缩末期内径均低于对照组,BNP水平低于对照组,差异均有统计学意义(P<0。05)。结论:苓桂术甘汤加减联合IS-5MN治疗CCI患者,可提高临床疗效,有效缓解其临床症状,提高心功能,减少心肌损伤。
Analysis Effect of Linggui Zhugan Decoction Plus Minus Combined with 5-Isosorbide Mononitrate on Patients with Chronic Heart Dysfunction
Objective:To investigate the clinical efficacy of Linggui Zhugan Decoction Plus Minus combined with Isosorbide 5-mononitrate(IS-5MN)in the treatment of patients with chronic cardiac insufficiency(CCI).Methods:A total of 86 patients with CCI treated in Shanxian Traditional Chinese Medicine Hospital from December 2021 to December 2022 were selected as the research objects,and were divided into a control group and a study group by random number table method,with 43 cases in each group.The control group received conventional treatment,and the study group received Linggui Zhugan Decoction Plus Minus combined with IS-5MN treatment.The clinical efficacy,TCM syndrome score,heart function and serum brain natriuretic peptide(BNP)level were compared between the two groups.Results:The total effective rate of the study group was 97.67%,which was higher than 83.72%of the control group,the difference was statistically significant(P<0.05).After treatment,the TCM syndrome score of the study group was lower than that of the control group,the left ventricular ejection fraction was higher than that of the control group,the left ventricular end-diastolic diameter and the left ventricular end-systolic diameter of the study group were lower than those of the control group,and the BNP level was lower than that of the control group,with statistical significance(P<0.05).Conclusion:Linggui Zhugan Decoction Plus Minus combined with IS-5MN in the treatment of CCI patients can improve clinical efficacy,effectively relieve clinical symptoms,improve cardiac function and reduce myocardial injury.

Chronic cardiac insufficiencyLinggui Zhugan Decoction Plus Minus5-Isosorbide mononitrateBrain natriuretic peptide

朱坤福

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山东省菏泽市单县中医医院中医内科,山东 菏泽 274000

慢性心功能不全 苓桂术甘汤加减 5-单硝酸异山梨醇酯 脑钠肽

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)