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四逆汤合真武汤化裁治疗慢性心衰肾阳虚型临床观察

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目的:观察四逆汤合真武汤化裁治疗慢性心衰肾阳虚型的效果。方法:120例按照随机数字表法分为两组各60例,对照组用呋塞米治疗,研究组用四逆汤合真武汤化裁治疗。结果:研究组总有效率和LVEF指标高于对照组(P<0。05),研究组中医证候积分低于对照组(P<0。05),研究组心率低于对照组(P<0。05),研究组NYHA心功能分级、LVESD和LVEDD指标低于对照组(P<0。05)。结论:四逆汤合真武汤化裁治疗慢性心衰肾阳虚型效果较好,且安全。
Objective:To observe the effect of modified Sini Decoction combined with Zhenwu Decoction in the treatment of chronic heart failure with kidney yang deficiency.Methods:A total of 120 cases were divided into two groups according to the random number table method,60 cases in each group.The control group were treated with furosemide,while the study group were treated with modified Sini Decoction and Zhenwu Decoction.Results:The total effective rate and LVEF index of the study group were higher than those of the control group(P<0.05).The TCM syndrome score of the study group was lower than that of the control group(P<0.05).The heart rate of the study group was lower than that of the control group(P<0.05).The NYHA cardiac function classification,LVESD and LVEDD indexes of the study group were lower than those of the control group(P<0.05).Conclusion:Sini Decoction combined with Zhenwu Decoction is effective and safe in the treatment of chronic heart failure with kidney yang deficiency.

Chronic heart failure kidney yang deficiency typeSini DecoctionZhenwu Decoction

刘冰垒

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河南省许昌北海医院内一科,河南 许昌 461000

慢性心衰肾阳虚型 四逆汤 真武汤

2024

实用中医药杂志
重庆医科大学中医药学院

实用中医药杂志

影响因子:0.546
ISSN:1004-2814
年,卷(期):2024.40(6)