实用中医药杂志2024,Vol.40Issue(10) :1983-1985.

加味真武汤辅治慢性心力衰竭阳虚水泛型临床观察

张自阳
实用中医药杂志2024,Vol.40Issue(10) :1983-1985.

加味真武汤辅治慢性心力衰竭阳虚水泛型临床观察

张自阳1
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作者信息

  • 1. 河南省洛阳市第六人民医院心内科,河南 洛阳 471003
  • 折叠

摘要

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.

Abstract

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.

关键词

慢性心力衰竭/阳虚水泛型/加味真武汤

Key words

Chronic heart failure/Yang deficiency and water accumulation syndrome/Modified Zhenwu Decoction

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出版年

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
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