自拟心衰方联合超声脉冲电导治疗慢性心力衰竭卫生经济学效益观察  

Effects of Self-made Traditional Prescription for Heart Failure with Ultrasonic Pulse Conductance on Chronic Heart Failure

作　　者：何志良[1] 高江宝 甄杰武[1] HE Zhiliang GAO Jiangbao ZHEN Jiewu.(Panyu TCM Hospital of Guangzhou,Guangdong , Guangzhou 511400, China)

机构地区：[1]广东省广州市番禺区中医院,广东广州511400

出　　处：《中国中医急症》2017年第3期498-500,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：广东省中医药管理局建设中医药强省科研课题项目(20151059)

摘　　要：目的探讨自拟心衰方联合超声脉冲电导治疗慢性心力衰竭的卫生经济学效益。方法将80例慢性心力衰竭患者按随机数字表法分为观察组和对照组,各40例。对照组采用西医基础治疗;观察组在此基础上口服自拟心衰方联合参芪扶正注射液超声脉冲电导导入心俞穴治疗,疗程均为4周。随访6个月,观察两组患者半年内因心衰急诊就诊次数、住院次数、住院时间、住院费用、纽约心脏病协会(NYHA)心功能分级、NTpro-BNP水平、明尼苏达生活质量评分。结果观察组半年内因心衰急诊就诊次数、住院次数、住院时间、住院费用均较对照组少,差异有统计学意义(P<0.05);观察组NYHA心功能分级改善情况明显好于对照组,差异有统计学意义(P<0.05);观察组NT-pro-BNP水平、明尼苏达生活质量评分下降程度较对照组更显著,差异有统计学意义(P<0.05)。结论自拟心衰方联合超声脉冲电导治疗慢性心力衰竭具有较好的卫生经济效益。Objective： To explore the health-economic effectiveness of the self-made traditional prescription for heart failurG with ultrasonic pulse conductance on chronic heart failure. Methods： 80 cases of patients with chronic heart failure were divided into treatment group （n = 40） and control group （n = 40） according to random number table method. The control group was treated with western medicine treatment, while the treatment group was added with self-made oral traditional prescription for heart failure and Shenqi Fuzheng injection by ultrasonic pulse conductance at Xinshu acupoint in addition to western medicine treatment for 4 weeks. Follow up continued for 6 months. Number of emergency,hospitalization,number of hospital days,cost of hospitalization due to heart failure and NYHA grade,NT-pro-BNP level, Minnesota quality of life scale score were compared between the two groups. Results： The number of emergency,hospitalization,number of hospital days,and cost of hospitalization due to heart failure of the treatment group were less than that of the control group. The improvement degree of NYHA-grade and Minnesota quality of life scale score in the treatment group was better than that in the control group. The differences were of statistical significance （P〈 0.05 ）. Conclusion： Self-made traditional prescription for heart failure with ultrasonic pulse conductance has a good health-economic effectiveness on patients with chronic heart failure

关 键 词：心衰方 慢性心力衰竭 超声脉冲电导 卫生经济学效益 

分 类 号：R541.61[医药卫生—心血管疾病]