五苓散加减治疗充血性心力衰竭30例临床观察  

The Influence on Inflammatory Falctors and Prognosis with Clinical Observation with Moditied

作　　者：胡雯青[1] 陈宏珪[2] 吴伟[2] 

机构地区：[1]中国中医科学院西苑医院 [2]广州中医药大学第一附属医院

出　　处：《中西医结合心脑血管病杂志》2008年第1期14-15,共2页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘　　要：目的观察五苓散加减治疗充血性心力衰竭的临床疗效。方法将50例符合充血性心力衰竭诊断标准的病人随机分为两组,治疗组30例,对照组20例。两组均应用常规西药治疗,治疗组在常规西药治疗基础上加用五苓散,每日1剂水煎服,两组疗程均以14d为1个疗程,1个疗程后观察两组临床症状、体征及安全性指标,并于治疗前后分别测定左室射血分数(LVEF)。结果治疗组与对照组总有效率分别为93.3%和90.0%(P>0.05),两组体重、LVEF治疗前后自身比较有统计学意义(P<0.05或P<0.01);两组水肿、肝大总有效率比较无统计学意义(P>0.05)。结论五苓散加减治疗充血性心力衰竭有一定疗效,可明显减轻病人体重,提高LVEF。Objective To observe the effect of Wulingsan on chronic heart failure （CHF）. Methods Fifty patients （pts） with CHF were randomly divided into treatment group （n = 30） and control group （n = 20）. All pts were treated with western medicine. Wulingsan was used in treatment group, Results The total effective rate in treatment group and control group was 93.3 % and 90.0 %, respectively （P 〉0.05）. Comparing with treatment group, there was obvious difference in body weight and LVEF（P 〈 0.01 ）. Conclusion Wulingsan was effective for treatment of CHF.

关 键 词：充血性心力衰竭 五苓散 左室射血分数 

分 类 号：R259[医药卫生—中西医结合]