摘要
目的 :观察中西医结合治疗充血性心力衰竭的临床疗效。方法 :选符合纳入标准的充血性心力衰竭患者 6 8例 ,随机分为 2组。对照组采用西医常规治疗 ,治疗组加用新生脉汤。结果 :治疗组临床痊愈 6例 ,显效 15例 ,有效 11例 ,无效 4例 ,总有效率为 88.89% (95 % CI=73.7%～ 96 .9% ) ;对照组临床痊愈 3例 ,显效 11例 ,有效 8例 ,无效 10例 ,总有效率为 6 8.75 %(95 % CI=5 0 .0 %～ 83.9% ) ;两组综合疗效比较 ,差异有显著性 (u =2 .2 2 85 ,P =0 .0 2 6 3)。在改善 SV、EF方面 ,治疗组优于对照组 (P <0 .0 1)。结论 :新生脉汤配合西药治疗充血性心力衰竭优于单用西药治疗 ,其收益为 OR=0 .2 8(95 % CI=0 .0 8～0 .99) ,NNT=5 (95 % CI=2 .5 4～ 112 .36 )。
Objective:To observe the clinical effect of integrated TCM and WM on congestive heart failure.Method:68 patients with congestive heart failure were selected according to the diagnostic criteria and randomly divided into two groups.The treatment group were treated with New Shengmai Decoction(新生脉汤) on the basis of routine WM.Result:In the treatment group,6 cases cured,15 cases significantly effective,11 cases effective,and 4 cases ineffective.The total effective rate was 88.89%(95%CI=73.7%～96.9%);In the control group,3 cases cured,11 cases significantly effective,8 cases effective and 10 cases ineffective.The total effective rate was 68.75%(95%CI=50.0%～83.9%);The difference of therapeutic effect between the two groups was notable(u=2.2285,P=0.0263).The Integrated treatment group was superior to the control group in improving SV and EF(P<0.01).Conclusion:TCM and WM had the better therapeutic effect than WM only.OR=0.28(95%CI=0.08～0.99),NNT=5(95%CI=2.54～112.36)
出处
《山西中医》
2004年第3期24-25,共2页
Shanxi Journal of Traditional Chinese Medicine
关键词
充血性心力衰竭
新生脉汤
中西医结合疗法
congestive heart failure
New Shengmai Decoction
therapy of integrated TCM and WM
