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加味真武汤辅治慢性心力衰竭阳虚水泛型临床观察

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目的:观察加味真武汤辅治慢性心力衰竭(CHF)阳虚水泛型的效果.方法:110例随机分为治疗组和对照组各55例.两组均用西医常规治疗,治疗组加用加味真武汤治疗.结果:总有效率治疗组高于对照组(P<0.05).治疗后中医证候评分治疗组低于对照组(P<0.05).治疗组心功能改善优于对照组(P<0.05).治疗后两组血管内皮功能指标NO、ET-1、炎症因子CTGF、TGF-β1、心功能指标BNP优于治疗前(P<0.05),且治疗后治疗组改善优于对照组(P<0.05).运动耐力及生活质量(QOL)评分治疗组优于对照组(P<0.05).结论:加味真武汤辅治慢性心力衰竭阳虚水泛型效果较好.
Objective:To observe the efficacy of modified Zhenwu Decoction as an adjuvant therapy in the treatment of chronic heart failure(CHF)with yang deficiency and water accumulation syndrome.Methods:A total of 110 patients were randomly divided into a treatment group and a control group,with 55 patients in each group.Both groups received conventional Western medical treatment,and the treatment group additionally received modified Zhenwu Decoction.Results:The total effective rate was higher in the treatment group than the control group(P<0.05).After treatment,the traditional Chinese medicine(TCM)syndrome scores were lower in the treatment group than in the control group(P<0.05).The improvement in cardiac function was superior in the treatment group than the control group(P<0.05).Vascular endothelial function markers such as NO and ET-1,inflammatory factors including CTGF and TGF-β1,and cardiac function indicators like BNP were all improved in both groups post-treatment compared to pre-treatment(P<0.05),with the treatment group showing better improvements than the control group(P<0.05).The exercise tolerance and quality of life(QOL)scores were better in the treatment group than the control group(P<0.05).Conclusion:Modified Zhenwu Decoction has good efficacy in adjuvant treatment of chronic heart failure with yang deficiency and water accumulation syndrome.

Chronic heart failureYang deficiency and water accumulation syndromeModified Zhenwu Decoction

张自阳

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河南省洛阳市第六人民医院心内科,河南 洛阳 471003

慢性心力衰竭 阳虚水泛型 加味真武汤

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(10)