真武汤加味联合常规西药治疗老年舒张性心力衰竭临床观察  

Clinical Observation of Modified Zhenwu Tang Combined with Routine Western Medicine in Treating Elderly Patients with Diastolic Heart Failure

作　　者：刘培中[1] 谢跃藩[2] 李创鹏[1] 罗玉英[3] LIU Peizhong XIE Yuefan LI Chuangpeng LUO Yuying

机构地区：[1]广东省中医院珠海医院,广东珠海519015 [2]广州市红十字会医院,广东广州510220 [3]珠海市人民医院,广东珠海519015

出　　处：《新中医》2017年第1期22-24,共3页New Chinese Medicine

基　　金：广东省科技厅资助项目(2012B03180339)

摘　　要：目的:观察真武汤加味联合常规西药治疗老年舒张性心力衰竭的临床疗效。方法:将120例老年舒张性心力衰竭患者随机分为治疗组和对照组各60例,对照组采用常规西药治疗,治疗组采用中药免煎颗粒剂真武汤加味联合常规西药治疗,2组均治疗4周。观察治疗前后6 min步行试验(6MWT)结果、纽约心功能分级(NYHA)情况的变化。结果:治疗前,2组6MWT、NYHA分级情况比较,差异均无统计学意义(P>0.05)。治疗后,2组6MWT、NYHA分级情况均较治疗前改善,差异均有统计学意义(P<0.01)。观察组6MWT、NYHA分级情况优于对照组,差异均有统计学意义(P<0.01)。结论:采用真武汤加味联合常规西药治疗老年DHF患者,可提高患者的6 min步行距离,改善心功能。Objective：To observe the clinical effect of modified Zhenwu tang combined with routine western medicine in treating elderly patients with Diastolic Heart Failure（DHF）.Methods：Selected 120 elderly patients with DHF into the treatment group and the control group randomly,60 cases in each.The control group was given the therapy of routine western medicine,the treatment group was given the therapy of Chinese medicine free-inspection granule modified Zhenwu tang combined with routine western medicine.Treatment last for 2 weeks.Observed changes of result of 6 minute walking test（6-MWT） and situation of New York heart association（NYHA） classes before and after treatment.Results：Before treatment,compared 6MWT and NYHA classes of the two groups,there was no significant difference（P〉0.05）.After treatment,situation of 6MWT and NYHA classes in the two groups were improved（P〈0.01）.Situation of 6MWT and NYHA classes in the observation groups were better than those in the control group（P〈0.01）.Conclusion：Adopted modified Zhenwu tang combined with routine western medicine in treating elder DHF can improve 6MWT and cardiac function of patients.

关 键 词：舒张性心力衰竭(DHF) 中西医结合疗法 阳虚水停证 真武汤 6 min步行试验(6MWT) 纽约心功能(NYHA)分级 

分 类 号：R541.61[医药卫生—心血管疾病]