摘要
目的:观察升陷汤联合隔物灸治疗慢性左心衰的临床疗效。方法:将符合纳入标准的慢性心力衰竭患者随机分为两组各46例。对照组予常规西药治疗,治疗组在对照组基础上予升陷汤联合隔物灸治疗,疗程为4周,比较两组临床疗效。结果:治疗组、对照组中医证候疗效总有效率分别为95.65%、75.86%,临床疗效总有效率分别为91.30%、84.78%,两组比较差异均有统计学意义(P﹤0.05);治疗后两组患者中医证候总评分、Lee氏心衰评分、血清NT-pro BNP、hs-CRP均较治疗前降低,6 min步行距离、EF均较治疗前增加,差异均有统计学意义(P﹤0.05);且治疗组各项指标改善程度均优于对照组(P﹤0.05)。结论:在常规西医治疗基础上,升陷汤联合隔物灸治疗可有效改善慢性心力衰竭患者临床症状及心功能,降低血清NT-pro BNP及hs-CRP水平,提高患者生活质量。
Objective:To observe the clinical efficacy of Shengxian decoction and interposed moxibustion on chronic left heart failure.Methods:The patients with chronic heart failure,who met the inclusion criteria,were randomly divided into two groups,46 cases in each group.The control group was treated with conventional western medicine,while the treatment group was treated plus with Shengxian decoction and interposed moxibustion on the basis of control group.The course of treatment was 4 weeks.The clinical efficacy was compared between two groups.Results:The total effective rate of TCM syndrome was 95.65%in treatment group and 75.86%in control group respectively,the total effective rate of clinical efficacy was 91.30%in treatment group and 84.78%in control group respectively,and the comparative differences between two groups were statistically significant(P<0.05).After treatment in two groups,the total score of TCM syndromes,Lee’s heart failure score,serum NT-proBNP and hs-CRP were decreased compared with before treatment,and 6-minute walking distance and EF were increased compared with before treatment,and the differences were statistically significant(P<0.05).The improvement of each index in treatment group was better than that in control group(P<0.05).Conclusion:On the basis of treatment with conventional western medicine,Shengxian decoction and interposed moxibustion for treatment of chronic heart failure can effectively improve the clinical symptoms and cardiac function of patients with chronic heart failure,reduce the levels of serum NT-proBNP and hsCRP,and enhance the quality of life of patients.
作者
邹晓琪
周狄
陈伶利
李杰
ZOU Xiao-qi;ZHOU Di;CHEN Ling-li(The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410005,China;不详)
出处
《山西中医》
2023年第1期12-14,共3页
Shanxi Journal of Traditional Chinese Medicine
基金
国家自然科学基金课题项目(编号:81874375)
湖南省中医药科研计划重点项目(编号:2021024)
湖南中医药大学校级科研重点项目(编号:2020XJJJ002)。
关键词
慢性心力衰竭
升陷汤
隔物灸
中医药疗法
chronic heart failure
Shengxian decoction
interposed moxibustion
therapy of TCM
