首页|温肾敛汗方治疗心肾阳虚型慢性心力衰竭多汗疗效观察

温肾敛汗方治疗心肾阳虚型慢性心力衰竭多汗疗效观察

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目的:观察温肾敛汗方治疗心肾阳虚型慢性心力衰竭多汗患者的临床疗效。方法:选取心肾阳虚型慢性心力衰竭多汗患者60例,随机分为两组各30例。对照组予慢性心衰"新四联"常规药物治疗;治疗组在对照组基础上予温肾敛汗方,观察治疗前后中医证候积分及心功能指标。结果:治疗组总有效率为93。33%,高于对照组的80。00%(P<0。05);治疗后,两组患者出汗症状积分及中医证候总积分均较治疗前明显下降(P<0。05),且治疗组评分显著低于对照组(P<0。05);两组患者B型钠尿肽(BNP)和左室射血分数(LVEF)较治疗前明显改善,且治疗组的改善效果明显优于对照组(P<0。05)。结论:温肾敛汗方能有效地改善心肾阳虚型慢性心力衰竭多汗患者的临床症状。
Efficacy observation of Wenshen Lianhan formula on chronic heart failure-caused hyperhidrosis with syndrome of yang deficiency of heart and kidney
Objective:To observe the clinical efficacy of Wenshen Lianhan formula on chronic heart failure-caused hyperhidrosis with syndrome of yang deficiency of heart and kidney.Methods:60 cases of patients with chronic heart failure-caused hyperhidrosis with syndrome of yang deficiency of heart and kidney were selected and randomly divided into two groups,30 cases in each group.The control group was treated with"new quadruple"routine drugs for chronic heart failure,while the treatment group was treated plus with Wenshen Lianhan formula on the basis of control group.TCM syndrome score and cardiac function indexes were observed before and after treatment.Results:The total effective rate of treatment group was 93.33%,which was higher than 80.00%of control group(P<0.05).After treatment in both groups,the score of sweating symptoms and total TCM symptoms score of patients were significantly lower than those before treatment(P<0.05),and the scores of treatment group were significantly lower than those of control group(P<0.05).B-type natriuretic peptide(BNP)and left ventricular ejection fraction(LVEF)of patients were significantly improved in both groups compared with those before treatment,and the improvement of treatment group was significantly better than that of control group(P<0.05).Conclusion:Wenshen Lianhan formula can effectively improve the clinical symptoms of patients with chronic heart failure-caused hyperhidrosis with syndrome of yang deficiency of heart and kidney.

chronic heart failurehyperhidrosisyang deficiency of heart and kidneyWenshen Lianhan formulaintegrated therapy of traditional Chinese and western medicine

杜琳琳、余希文

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安徽中医药大学附属六安市中医院(六安237006)

慢性心力衰竭 多汗 心肾阳虚 温肾敛汗方 中西医结合疗法

2024

山西中医
山西省中医药学会 山西中医药研究院

山西中医

影响因子:0.59
ISSN:1000-7156
年,卷(期):2024.40(5)
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