真武汤合桂枝茯苓丸对慢性心力衰竭肾阳虚证患者心功能的影响  

The Influence of True Warrior Decoction in Combination with Cinnamon Twig and Poria Pill on Heart Function of Patients with Chronic Heart Failure with Syndrome of Deficiency of Kidney Yang

作　　者：陆进[1] 廖敏 郭凯 石立鹏[1] 赵凤林 

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]重庆市垫江县中医院,重庆408300

出　　处：《河南中医》2018年第1期77-80,共4页Henan Traditional Chinese Medicine

基　　金：全国基层名老中医药专家传承工作室项目(编号:国中医药办人教发[2015]25号);重庆市卫生和计划生育委员会中医药重点学科项目(编号:zy20132129);垫江县科技计划项目(编号:djkjxm2016jsyfysfyy044)

摘　　要：目的:观察真武汤合桂枝茯苓丸对慢性心力衰竭肾阳虚证患者心功能及生存质量的影响。方法:将60例慢性心力衰竭肾阳虚证患者随机分为治疗组和对照组,每组各30例。对照组给予西医常规治疗,治疗组在对照组基础上加用真武汤合桂枝茯苓丸治疗。观察两组患者的临床疗效,比较两组患者治疗前后生存质量评分、左室射血分数及NT-pro BNP水平。结果:对照组有效率为71.4%,治疗组有效率为89.7%,两组患者疗效比较,差异具有统计学意义(P<0.05)。两组患者治疗后生存质量评分低于治疗前,且治疗组低于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后左室射血分数及NT-pro BNP水平低于治疗前,且治疗组低于对照组,差异具有统计学意义(P<0.05)。结论:真武汤合桂枝茯苓丸治疗慢性心力衰竭临床疗效显著,不仅能改善患者生存质量,还能提高患者心功能。Objective：To observe the influence of True Warrior Decoction in combination with Cinnamon Twig and Poria Pill on heart function and life quality of patients with chronic heart failure（CHF） with syndrome of deficiency of kidney yang. Methods： Sixty patients with CHF with syndrome of deficiency of kidney yang were randomly divided iuto the trealment group and the control group, with 30 eases in each group. The ones in the control group were given routine Western medicine treatment, while the ones in the treatment group were added True Warrior Decoction in combination with Ci,mamon Twig and Poria Pill based on the treatment of the control group. Then the two groups＇ clinical curative effects were observed. The qualily uf life score,left veutricular ejectiun fraction and NT-proBNP level heft）re and after the treatment, between the two gruups were compared. Rcsuhs：The effective rate in the control group was 71.4% , while that in the treatment group was 89.7% , and the difference belween the two groups was statis- tically significant （P 〈 0.05）. The quality of life of the two groups was lower lhan that before thetreatment, and the treatment group was lower than the control group. The difference was statistically signific.ant （P 〈 0. 05 ）. The left ventricnlar ejection frac- tion and NT-proBNP level in the two groups were lower than those heft）re the trcatment ,and the treatment group was lowe,＂ than the control group, the difference was statistically significant （ P 〈 0.05 ）. Conclusion ：True Warrior Decnction in combiuation with Cin- namon Twig and Poria Pill has a remarkable clinical curative effect on CHF,nut only can improve life quality of patieuts,but also improve their heart function.

关 键 词：真武汤 桂枝茯苓丸 慢性心力衰竭 肾阳虚证 生存质量 《伤寒论》 《金匮要略》 张仲景 

分 类 号：R259.441[医药卫生—中西医结合]