真武汤合苏葶丸治疗肺源性心脏病急性发作期合并左心衰竭的效果探讨  

Effects of Zhenwu Decoction and Suting Pill in the Treatment of Acute Pulmonary Heart Disease with Left Ventricular Failure

作　　者：刘泉[1] 郭光辉[1] 蒋心悦 郑敏 Liu Quan;Guo Guanghui;Jiang Xinyue;Zheng Min(Department of Pulmonary Disease,Hubei Hospital of Traditional Chinese Medicine,Wuhan 430074,China)

机构地区：[1]湖北省中医院肺病科

出　　处：《世界中医药》2019年第7期1813-1816,共4页World Chinese Medicine

基　　金：湖北省卫生厅科研基金项目(WJ2009108)

摘　　要：目的:探讨真武汤合苏葶丸治疗肺源性心脏病急性发作期(AECPHD)合并左心衰竭的效果。方法:选取2016年3月至2017年12月湖北省中医院收治的AECPHD合并左心衰竭患者91例作为研究对象,将其按照抽签法分为对照组(n=45)和观察组(n=46),对照组采用常规西医治疗,观察组在此基础上用真武汤合苏葶丸治疗,比较2组的临床疗效。结果:观察组总有效率为95.7%,对照组为80.0%,2组比较差异有统计学意义(P<0.05);治疗前2组患者中医证候积分、心肺功能及血管功能比较,差异均无统计学意义(P>0.05),治疗后2组上述指标均明显改善(P<0.05),其中观察组改善程度明显优于对照组(P<0.05)。结论:真武汤合苏葶丸治疗AECPHD合并左心衰竭效果显著,能够有效改善心肺功能,值得临床推广。Objective:To investigate the effects of Zhenwu Decoction and Suting Pill on acute attack of pulmonary heart disease complicated with left heart failure.Methods:A total of 91 patients with acute attack of pulmonary heart disease complicated with left heart failure in Hubei Hospital of Traditional Chinese Medicine from March 2016 to December 2017 were selected as the research objects.They were divided into a control group(45 cases)and an observation group(46 cases)by drawing lots.The control group was treated with conventional ewstern medicine,and the observation group was treated with Zhenwu Decoction and Sutian Pill on this basis.The difference of therapeutic effects between the 2 groups was compared.Results:The total effective rate of the observation group was 95.7%,which was significantly higher than that of the control group(80.0%)(P<0.05).There was no significant difference in TCM syndrome score,cardiopulmonary function and vascular function between the 2 groups before treatment(P>0.05).After treatment,the above indexes of the 2 groups were significantly improved,and the improvement degree of the observation group was significantly better than that of the control group(P<0.05).Conclusion:Zhenwu Decoction combined with Suting Pill has a significant effect on acute attack of pulmonary heart disease complicated with left heart failure,and can effectively improve cardiopulmonary function,which is worthy of clinical promotion.

关 键 词：真武汤 合苏葶丸 肺心病 急性发作期 左心衰竭 证候积分 

分 类 号：R541.5[医药卫生—心血管疾病]