6min步行试验与心脏彩超评价养心通脉饮治疗慢性心力衰竭  

Yangxin Tongmai Decoction for Treatment of Chronic Heart Failure Evaluated by the 6-minute Walk Test and Echocardiography

作　　者：何新兵[1] 王庆高[1] 张振千[1] 潘朝锌[1] 杨清华[1] 张清伟[1] 吴海珊[1] 

机构地区：[1]广西中医学院第一附属医院

出　　处：《中西医结合心脑血管病杂志》2010年第9期1027-1029,共3页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：广西壮族自治区教育厅课题

摘　　要：目的观察养心通脉饮对慢性心力衰竭(CHF)患者心功能及6 min步行试验(6-MWT)的影响。方法将64例患者随机分为两组。对照组32例用西药治疗;治疗组32例在对照组西药治疗基础上加服养心通脉饮。观察两组临床疗效及心功能分级、左室射血分数(LVEF)、6 min步行距离的变化。结果治疗组总有效率为87.5%,对照组为71.9%,两组比较差异有统计学意义(P<0.05)。两组治疗后6 min步行距离均增加(P<0.01);且治疗组提高较对照组更显著(P<0.05)。结论养心通脉饮治疗CHF疗效确切,能够改善CHF患者心功能,提高患者的运动耐量。Objective To investigate the effects of Yangxin Tongmai decoction（YTD） on heart function and the 6-min walking distance（6MWT） in patients with chronic heart failure（CHF）.Methods Sixty-four patients with CHF were randomly divided into two groups：Control group（n=32） treated with routine treatment and treatment group（n=32） treated with YTD and routine treatment.The clinical effect,heart function,the left ventricular ejection fraction and 6MWT were studied.Results The total effective rate in treatment group（87.5%） was,better than that in the control group,71.9%（P〈0.05）.After treatment,the 6MWT of two groups were improved（P〈0.01）.The 6MWT in treatment group were improved significantly compared with that in control group（P〈0.05）.Conclusion Yangxin Tongmai decoction has good effect in treating CHF,which could improve heart function and exercise intolerance.

关 键 词：养心通脉饮 慢性心力衰竭 6min步行试验 左室射血分数 

分 类 号：R259[医药卫生—中西医结合]