补肺益肾汤治疗慢性肺源性心脏病心力衰竭临床研究

doi:10.3969/j.issn.1006-6233.2017.08.009

摘要
图/表
参考文献
相关文章 (12)

全文: PDF (1345 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要 目的: 研究补肺益肾汤治疗慢性肺源性心脏病心力衰竭的临床价值。方法: 选取2015年2月至2016年7月于我院接受治疗的慢性肺源性心脏病心力衰竭患者94例。根据随机数字表法分为观察组与对照组各47例。对照组患者给予常规西医治疗,观察组患者则在对照组的基础上加用补肺益肾汤治疗。分别对比两组临床疗效,治疗前后动脉血气指标变化、肺功能变化情况,生活质量情况。结果: 观察组治疗总有效率为93.62%(44/47),显著高于对照组的78.72%(37/47),差异有统计学意义(P<0.05)。治疗后两组患者动脉血气指标均有不同程度改善,且观察组PaO₂、SaO₂显著高于对照组,而PaCO₂显著低于对照组,差异均有统计学意义(均P<0.05)。治疗后观察组FEV1、FVC水平均显著高于对照组,差异均有统计学意义(均P<0.05)。观察组生理功能、生理职能、躯体疼痛、社会功能、精力、情感职能、精神健康、总体健康评分均显著高于对照组,差异均有统计学意义(均P<0.05)。结论: 补肺益肾汤治疗慢性肺源性心脏病心力衰竭的临床疗效显著,可显著改善患者动脉血气指标以及肺功能,提高患者生活质量。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章

关键词 ：慢性肺源性心脏病, 心力衰竭, 补肺益肾汤, 肺功能

Abstract：Objective: To study of strengthening lung and benefiting kidney soup decoction of the clinical value of treatment of chronic cor pulmonale heart failure. Methods: From February 2015 to July 2016, 94 patients with chronic pulmonary heart disease and heart failure treated in our hospital were selected. According to the random number table method, the patients were divided into observation group and control group, with 47 cases in each group. The patients in the control group received routine western medicine treatment, while the observation group was treated with tonifying kidney and kidney decoction on the basis of the control group. The clinical effects of the two groups were compared. The changes of arterial blood gas index, lung function and quality of life were observed before and after treatment. Results: The total effective rate of the observation group was 93.62% (44/47), significantly higher than that of the control group 78.72% (37/47), the difference was statistically significant (P < 0.05). After treatment, two groups of patients with arterial blood gas index were improved in varying degrees, and the observation group PaO₂ and SaO₂ were significantly higher than the control group, while PaCO₂ was significantly lower than the control group, the differences were statistically significant (P < 0.05). After treatment, the levels of FEV1 and FVC in the observation group were significantly higher than those in the control group, and the differences were statistically significant (P < 0.05). Group of physiological function, physiological function, body pain, vitality, social function, emotional function, mental health and general health scores were significantly higher than the control group, the differences were statistically significant (P < 0.05). Conclusion: The clinical effect of Yishen Decoction in treating chronic cor pulmonary heart failure is significant, which can significantly improve the arterial blood gas index and pulmonary function, and improve the quality of life of patients.

Key words： Chronic cor pulmonale Heart failure Tonifying lung kidney decoction Lung function

基金资助:河北省承德市科技支撑计划项目,(编号:201606A064)

通讯作者: 于化江

引用本文:

刘雪林, 于化江, 于智强. 补肺益肾汤治疗慢性肺源性心脏病心力衰竭临床研究[J]. 河北医学, 2017, 23(8): 1264-1267.
LIU Xuelin, et al. Treatment of Heart Failure Caused by Chronic Pulmonary Heart Disease with Tonifying the Lung and Tonifying Kidney Decoction. 河北医学, 2017, 23(8): 1264-1267.

链接本文:

http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2017.08.009 或 http://www.hbyxzzs.cn/CN/Y2017/V23/I8/1264

[1] Zafari Z, Bryan S, Sin DD,et al.A systematic review of health economics simulation models of chronic obstructive pulmonary disease[J].Value Health,2017,20(1):152~162.
[2] 张静颖.杨道文教授应用“杨氏利水定喘方”治疗慢性肺源性心脏病急性期经验[J].中国中医急症,2015,24(2):269~270.
[3] 祁向荣,肖泓.强心胶囊治疗慢性肺源性心脏病心力衰竭的临床观察[J].云南中医中药杂志,2015,36(3):37~38.
[4] 丁立峰.加用真武汤加味治疗肺心病心力衰竭40例[J].广西中医药,2015,38(4):23~24.
[5] 张雪梅,杨社琴,侯爱萍,等.芪苈强心胶囊对慢性肺源性心脏病心力衰竭患者心肺功能的影响[J].国际中医中药杂志,2015,37(2):130~133.
[6] Inoue S, Shibata Y, Kishi H,et al.Decreased left ventricular stroke volume is associated with low-grade exercise tolerance in patients with chronic obstructive pulmonary disease[J].BMJ Open Respir Res,2017,4(1):158~159.
[7] Hogg JC, Paré PD, Hackett TL,et al.The contribution of small airway obstruction to the pathogenesis of chronic obstructive pulmonary disease[J].Physiol Rev,2017,97(2):529~552.
[8] 卢晨君.茯苓四逆汤联合甲磺酸酚妥拉明治疗慢性肺源性心脏病心力衰竭的临床研究[J].中西医结合心脑血管病杂志,2016,14(18):2150~2153.
[9] 葛慷艳,徐海虹,蒋鸽,等.米力农治疗慢性肺源性心脏病严重心力衰竭效果观察[J].中国医药,2016,11(7):969~972.
[10] 孙全立.补肺益肾汤治疗慢性肺源性心脏病心力衰竭的疗效分析[J].中西医结合研究,2015,21(5):233~235.
[11] 张希,李赵军,谭赛辉,等.补肺益肾汤治疗慢性肺源性心脏病心力衰竭25例临床观察[J].湖南中医杂志,2014,30(2):8~10.
[12] 赵义和.补肺益肾汤治疗慢性肺源性心脏病心力衰竭临床研究[J].内蒙古中医药,2015,34(1):24.
[13] 陈美丽,周细江,等.中西医结合治疗慢性肺源性心脏病心衰38例临床观察[J].中医药导报,2013,19(11):56~57.
[14] 蔡啸静,张秀华,王丰伟,等.丹参饮治疗慢性肺源性心脏病心力衰竭疗效及对血气指标、心功能的影响[J].浙江中医杂志,2015,50(8):555~556.