中药膳食联合太极拳干预气阴两虚型慢性心力衰竭效果观察  

Intervention Effects of TCM Diet Combined with Taijiquan on Chronic Heart Failure of Qi and Yin Deficiency Pattern

作　　者：邢素梅 XING Sumei(Jincheng Second People's Hospital,Jincheng 048000,China)

机构地区：[1]晋城市第二人民医院,山西晋城048000

出　　处：《西部中医药》2024年第10期140-143,共4页Western Journal of Traditional Chinese Medicine

基　　金：山西省卫生健康委员会基金项目(2019074)。

摘　　要：目的:观察中药膳食联合太极拳干预气阴两虚型慢性心力衰竭(chronic heart failure,CHF)患者的临床疗效。方法:将气阴两虚型CHF患者94例按照随机数字表法分为对照组和治疗组各47例。对照组根据指南予常规治疗措施,治疗组在对照组基础上予中药膳食联合太极拳干预;干预3个月比较两组患者心功能[左心室舒张末期内径(left ventricular end-diastolic dimension,LVEDD)、左心室收缩末期内径(left ventricular end-systolic dimension,LVESD)、左心室射血分数(left ventricular ejection fraction,LVEF)],气阴两虚证单项症状评分及临床疗效。结果:治疗后两组患者LVEDD、LVESD均降低,LVEF升高(P<0.01),治疗组改善更明显(P<0.01);治疗后两组患者气阴两虚证单项症状评分均降低(P<0.01),治疗组低于对照组(P<0.01);治疗组总有效率为95.74%(45/47),高于对照组的78.72%(37/47)(P<0.01)。结论:常规干预措施基础上予中药膳食联合太极拳有利于改善气阴两虚型CHF患者心功能与中医证候,疗效优于常规干预措施。Objective:To investigate clinical effects of TCM diet and Taijiquan(shadowboxing)in the treatment of chronic heart failure(CHF)of Qi and Yin deficiency pattern.Methods:A total of 94 CHF patients were divided into the control group and the treatment group in light of random number table method with 47 cases in each group.The control group accepted conventional treatment according to the guideline,and the treatment group received TCM diet and Tajiquan on the foundation of routine therapy.After three months of the intervention,to compare heart function including LVEDD,LVESD and LVEF,single symptom scores of Qi and Yin deficiency pattern and curative effects between both groups.Results:After the treatment,LVEDD and LVESD of the two groups reduced while LVEF increased(P<0.01),the improvement of the treatment group was more noticeable(P<0.01);single symptom scores of Qi and Yin deficiency pattern decreased in the two groups after the treatment(P<0.01),the treatment group was lower than the control group(P<0.01);total effective rate of the treatment group was 95.74%(45/47),higher than 78.72%(37/47)of the control group(P<0.01).Conclusion:On the foundation of conventional intervention measures,herbal diet and Tajiquan could improve heart function and TCM syndrome,and its effects better than these of conventional intervention measures.

关 键 词：心力衰竭 气阴两虚证 中药膳食 太极拳 

分 类 号：R256.21[医药卫生—中医内科学]