首页|真武汤合血府逐瘀汤加减治疗冠心病慢性心力衰竭临床研究

真武汤合血府逐瘀汤加减治疗冠心病慢性心力衰竭临床研究

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目的 探讨对冠状动脉粥样硬化性心脏病(简称冠心病)慢性心力衰竭患者采用真武汤合血府逐瘀汤加减方治疗的临床效果.方法 非随机选取2022年5月—2023年5月聊城市东昌府区中医院收治的80例冠心病慢性心力衰竭患者为研究对象,依据不同治疗方法分为两组,每组40例.参照组采用真武汤治疗,研究组采用真武汤合血府逐瘀汤加减治疗,对比两组的治疗总有效率、中医证候积分、心功能改善情况.结果 研究组的治疗总有效率(95.00%)参照组高于(75.00%),差异有统计学意义(χ2=6.274,P<0.05).研究组的中医证候积分、心功能改善情况均优于参照组,差异有统计学意义(P均<0.05).结论 在冠心病合并慢性心力衰竭患者的治疗中,采用真武汤合血府逐瘀汤加减治疗能够提升疗效,改善患者的中医证候以及心功能.
Clinical Study on the Zhenwu Decoction Combined with Xuefu Zhuyu De-coction in the Treatment of Chronic Heart Failure in Coronary Heart Dis-ease
Objective To investigate the clinical effect of Zhenwu Decoction and Xuefu Zhuyu Decoction on chronic heart failure patients with coronary atherosclerotic heart disease(CHD).Methods 80 patients with CHD and chronic heart failure admitted to Dongchangfu District Hospital of Traditional Chinese Medicine in Liaocheng City from May 2022 to May 2023 were non-randomly selected as the study objects,and were divided into two groups according to dif-ference treatment methods,with 40 cases in each group.The reference group was treated with Zhenwu Decoction,and the study group was treated with Zhenwu Decoction combined with Xuefu Zhuyu Decoction.The total effective rate,TCM syndrome score and cardiac function improvement of the two groups were compared.Results The total effective rate of the study group(95.00%)was higher than that of the reference group(75.00%),and the difference was statisti-cally significant(χ2=6.274,P<0.05).The improvement of TCM syndrome score and heart function in the study group were better than those in the reference group,and the differences were statistically significant(all P<0.05).Conclu-sion In the treatment of CHD patients with chronic heart failure,Zhenwu Decoction combined with Xuefu Zhuyu de-coction can improve the curative effect,improve the traditional Chinese medicine syndromes and improve the heart function.

Zhenwu DecoctionXuefu Zhuyu Decoction CAD chronic heart failureEfficacyTCM syndrome pointsHeart function

吕维芬

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聊城市东昌府区中医院药库,聊城 山东 252000

真武汤 血府逐瘀汤 冠心病慢性心力衰竭 疗效 中医证候积分 心功能

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(13)