摘要
目的观察中药活血利水法治疗慢性肺心病心力衰竭,在减轻水肿,改善症状,提高心功能方面的治疗效果及血钾紊乱等不良反应发生情况。方法选取2009年至2012年收治的80例肺心病患者,将其随机分为观察组41例与对照组39例。对照组在常规西医治疗的基础上予利尿剂,减轻心脏容量负荷,减轻水肿。观察组在常规西医治疗基础上加用本科室自拟方(浓缩颗粒),以活血利水为主,疗程均为1周。1周之后观察两组患者心功能、水肿及临床症状等改善情况,并监测不良反应的发生。结果两组患者的病情均有改善,效果差异显著,观察组患者临床疗效,水肿及心功能改善总体疗效明显优于对照组。且效果平稳持久,未发现血钾偏低情况。结论中药活血利水法治疗慢性肺心病心力衰竭,在减轻水肿提高心功能方面疗效显著,且作用平稳持久,减少离子紊乱的隐患,提高患者生存质量。
Objective： To observe the therapeutic effects of Traditional Chinese Medicine on promoting flow and alleviating water retention in treatment of heart failure of chronic pneumocardial disease such as alleviating edema,improving symptoms,improving cardiac function and incidence condition of adverse reaction.Methods： 80 cases with chronic pulmonary heart disease were divided into the treatment group with 41 cases and the control cases with 39 cases.The treatment group were treated by diuretic based on conventional western medicine treatment to reduce load of heart capacity and edema.The control group were adding concentrated granule which was made by our department to promote flow and alleviate water retention.After being treated for 1 week,some indices were observed the improvement of clinical symptoms such as the function of heart,the edema and monitoring adverse reactions.Results： The clinical effects after treatment were superior to those before treatment in 2 groups.There were some reamarkable differences between 2 groups such as the clinical effect,the edema and the improvement of cardiac function.Meanwhile,there were no cases of low blood potassium in the treatment group.Conclusion： Traditional Chinese Medicine on promoting flow and alleviating water retention in treatment of heart failure of chronic pneumocardial disease has a significant effect on alleviating edema and improving cardiac function which is smooth and lasting,and it can reduce ion disorder risks and improve the quality of patients′lifes.
出处
《中国中医急症》
2013年第8期1314-1316,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
河北省秦皇岛市科技支撑项目(2012023A036)
关键词
慢性肺心病
心力衰竭
水肿
利水活血法
Chronic pulmonary heart disease
Heart failure
Edema
Promoting flow and alleviating water retention
