益气活血强心汤联合西药治疗慢性肺源性心脏病疗效观察  

Effect of Integration of Supplementing Qi and Activating Blood Decoction and Western Medicine in Treatment of Pulmonary Heart Disease

作　　者：黄松平 

机构地区：[1]宁海县中医医院,浙江宁波315600

出　　处：《辽宁中医杂志》2014年第5期917-919,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:探究益气活血强心汤联合西药治疗慢性肺源性心脏病的疗效。方法:选取2012年2月—2013年8月该院收治的96例慢性肺源性心脏病患者,将其随机分为两组:联合治疗组和对照组;联合治疗组采用益气活血强心汤联合西药治疗,对照组采用单纯采用西药治疗。观察及对比两组患者的治疗效果(显效、有效、无效);两组患者治疗前后喘息、咳嗽、咳痰、心悸、水肿和胸部胀满例数;患者治疗前后血沉方程K值、红细胞压积、红细胞聚集指数、气血黏度、气血还原黏度。结果:经过治疗后,益气活血强心汤联合西药治疗组治疗的有效率(89.6%)高于对照组的治疗有效率(70.8%),联合治疗组治疗效果优于对照组(χ2=5.315,P=0.021);联合治疗组治疗后喘息、咳嗽、咳痰、心悸、水肿、胸部胀满例数较对照组少(P<0.05)。联合治疗组患者治疗后血沉方程K值、红细胞压积、红细胞聚集指数、气血黏度、气血还原黏度明显降低(P<0.05)而对照组治疗前后无明显差异(P>0.05);联合治疗组治疗后血沉方程K值、红细胞压积、红细胞聚集指数、气血黏度、气血还原黏度都比对照组低(P<0.05)。结论:益气活血强心汤联合西药治疗慢性肺源性心脏病的疗效优于单纯西药治疗疗效,具有较高的临床应用价值。Objective ： To explore the effect of integration of supplementing qi and activating blood decoction and western medicine in treatment of pulmonary heart disease. Methods ：96 cases of patients in our hospital from February 2012 to August 2013 with pulmonary heart disease were randomly divided into two groups ： the combination group （ integration of supplementing qi and activating blood decoction and western medicine） and control group （western medicine alone）. The patients of two groups were observed the effect ,including the gasp, cough, expectoration, palpitation, edema and swelling chest pretherapy and post - treatment and the hemodynamic indexes of all patients. Results ： The effect of the combination group was better than that of the control group （ x^2 = 5.315, P = 0. 021 ）, and the gasp, cough, expectoration, palpitation, edema pretherapy or post - treatment of combination group were less than those of the control group （P 〈 0. 05） and the hemodynamic indexes of the combination group were less than those of the control group（P 〈0.05）. Conclusion ：The treatment with integration of supplementing qi and activating blood decoction and western medicine is better than the treatment with western medicine alone. It has high clinical application value.

关 键 词：益气补血 慢性肺源性心脏病 中西结合 

分 类 号：R541.5[医药卫生—心血管疾病]