自拟温阳化瘀汤联合穴位贴敷治疗慢性肺源性心脏病的临床疗效  

Clinical efficacy of self-madeWenyang Huayu decoction combined with acupoint application in the treatment of chronic pulmonary heart diseas

作　　者：肖卫 何伟建 黄小萍 XIAOWei;HEWeijian;HUANG Xiaoping(Second Department of Internal Medicine,Traditional Chinese Medicine Hospital of Fuzhou,Fuzhou,Jiangxi,344000,China)

机构地区：[1]抚州市中医院内二科,江西抚州344000

出　　处：《当代医学》2023年第24期78-81,共4页Contemporary Medicine

基　　金：抚州市社会发展指导性科技计划项目(抚科计字〔2021〕81号)。

摘　　要：目的探究自拟温阳化瘀汤联合穴位贴敷治疗慢性肺源性心脏病的临床疗效。方法选取2021年3月至2022年3月抚州市中医院内科收治的60例符合临床诊断的慢性肺源性心脏病患者作为研究对象,按照随机数字表法分为两组,每组30例。对照组采用基础治疗方案治疗,观察组在对照组治疗基础上给予温阳化瘀汤及穴位贴敷治疗,比较两组治疗前后症状积分和改良英国医学研究会呼吸困难量表(mMRC)评分、肺功能指标[用力肺活量(FVC),第1秒用力呼气容积(FEV_(1))及FEV_(1)占预计值百分比(FEV_(1)%)]和B型脑钠肽(BNP)水平。结果治疗前,两组咳嗽、咳痰和气促、心悸积分及mMRC评分比较差异无统计学意义;治疗后,两组咳嗽、咳痰和气促、心悸积分及mMRC评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗前,两组FVC、FEV_(1)、FEV_(1)%及BNP水平比较差异无统计学意义;治疗后,两组FVC、FEV_(1)均大于治疗前,FEV_(1)%均高于治疗前,BNP水平低于治疗前,且观察组FVC、FEV_(1)均大于对照组,FEV_(1)%均高于对照组,BNP水平低于对照组,差异有统计学意义(P<0.05)。治疗前,两组CAT评分比较差异无统计学意义;治疗后,两组CAT评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论自拟温阳化瘀汤联合穴位贴敷治疗慢性肺源性心脏病疗效确切,能有效改善肺功能指标及脑钠肽,预后较好,值得临床推广应用。Objective To explore the clinical efficacy of self-mede Wenyang Huayu decoction combined with acupoint application in the treatment of chronic pulmonary heart disease.Methods 60 patients with clinically diagnosed chronic pulmonary heart disease admitted to the Department of Medicine of Fuzhou Hospital of Traditional Chinese Medicine from March 2021 to March 2022 were selected as research subjects and they were divided into the two groups according to random number table method,with 30 cases in each group.The control group was treated with the basic treatment plan,and the observation group was treated with Wenyang Huayu decoction combined with acupoint application on the basis of the control group,the symptom score,modified British Medical Research Council(mMRC)score and pulmonary function index(forced vital capacity[FVC],forced expiratory volume one second[FEV_(1)]and FEV_(1) percentage of the estimated value[FEV_(1)%])and B-type brain natriuretic peptide(BNP)levels were compared between the two groups before and after treatment.Results Before treatment,there were no significant differences in the scores of cough,sputum and shortness of breath,palpitation and mMRC between the two groups;after treatment,the scores of cough,sputum and shortness of breath,palpitation and mMRC oftwo groups were lower than before treatment,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in FVC,FEV_(1),FEV_(1)%and BNP levels between the two groups;after treatment,the FVC,FEV_(1) of the two groups were larger than before treatment,FEV_(1)%were higher than before treatment,and BNP levels were lower than before treatment,and FVC,FEV_(1) in the observation group were larger than the control group,and FEV_(1)%was higher than the control group,and BNP level was lower than the control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in CAT score between the two

关 键 词：慢性肺源性心脏病 自拟温阳化瘀汤 穴位贴敷 临床疗效 

分 类 号：R563[医药卫生—呼吸系统]