Effect of modified Shipi Yin combined with acupoint application in patients with chronic heart failure differentiated as heart-yang deficiency syndrome
-
摘要: 目的 探讨实脾饮加减结合穴位贴敷在慢性心力衰竭心肾阳虚证患者中的实施效果。 方法 选取122例慢性心力衰竭患者为研究对象,采用随机投掷法分为对照组和研究组。对照组实施常规西药治疗,研究组在对照组基础上实施实脾饮加减结合穴位贴敷治疗,对比2组的治疗效果。 结果 治疗前, 2组中医证候评分、6 min步行距离比较差异无统计学意义(P>0.05); 治疗后,研究组中医证候评分低于对照组, 6 min步行距离大于对照组,差异有统计学意义(P<0.05); 研究组治疗有效率为93.44%, 高于对照组的80.33%, 差异有统计学意义(P<0.05)。治疗前, 2组每搏输出量(SV)、左室射血分数(LVEF)、左心室短轴缩短率(LVFS)等心功能指标水平及血浆一氧化氮(NO)、内皮素(ET)、血浆脑钠肽(BNP)指标水平差异无统计学意义(P>0.05); 治疗后,研究组SV、LVEF、LVFS等心功能指标水平高于对照组, NO、ET、BNP水平低于对照组,差异有统计学意义(P<0.05)。 结论 实脾饮加减结合穴位贴敷治疗慢性心力衰竭心肾阳虚证患者效果显著。Abstract: Objective To explore the effect of modified Shipi Yin combined with acupoint application in patients with chronic heart failure differentiated as heart-yang deficiency syndrome. Methods A total of 122 patients with chronic heart failure were selected and divided into control group and study group according to random throwing method. The control group was treated with conventional western medicine, and the study group was treated modified with Shipi Yin combined with acupoint application on the basis of the control group, the therapeutic effects of the two groups were compared. Results There were no significant differences in the scores of traditional Chinese medicine syndrome and 6 min walking distance before treatment between the two groups(P>0.05); after treatment, the traditional Chinese Medicine syndrome score of the study group was significantly lower than that in the control group, and the 6 min walking distance was significantly greater than that in the control group(P<0.05); the effective rate in the study group was 93.44%, which was significantly higher than 80.33% in the control group(P<0.05). The levels of cardiac function indexes such as stroke volume(SV), left ventricular ejection fraction(LVEF), and left ventricular short-axis shortening rate(LVFS), plasma nitric oxide(NO), endothelin(ET), plasma brain natriuretic peptide(BNP)levels in the two groups before treatment showed no significant differences(P>0.05); after treatment, SV, LVEF and LVFS - levels in the study group were higher than those in the control group, and NO, ET, BNP indexes were lower than those in the control group, the differences were significant(P<0.05). Conclusion Modified Shipi Yin combined with acupoint application has obvious efficacy for patients with chronic heart failure differentiated as heart-yang deficiency syndrome.
-
-
张辛欣, 焦华琛, 李运伦. 心力衰竭中医证型与症状的关联规则分析[J]. 山东中医药大学学报, 2020, 44(3): 252-260. 陈浩, 卞震炯, 王隐羽, 等. 苗药心衰贴膏治疗60例心肾阳虚证型慢性心衰临床疗效观察[J]. 中国民族医药杂志, 2019, 25(6): 27-28. 郑筱萸. 中药新药临床研究指导原则(试行)[M]. 北京: 中国医药科技出版社, 2002, 15-32. 刘明辉, 王隐羽, 卞震炯, 等. 苗药心衰贴膏穴位贴敷对慢性心衰患者血清BNP浓度的影响[J]. 中西医结合心血管病电子杂志, 2019, 7(15): 150-151 , 154.
黄火剑, 陈武君, 庄洪标. 中药穴位贴敷辅助治疗慢性心力衰竭的临床观察[J]. 广州中医药大学学报, 2019, 36(5): 669-673. 王松. 中西医结合治疗心肾阳虚型慢性心衰44例临床观察[J]. 中国民族民间医药, 2018, 27(16): 114-116. 张晶晶, 朱明军, 李彬. 慢性心力衰竭中医证型与心功能指标的相关性研究[J]. 中西医结合心脑血管病杂志, 2018, 16(11): 1513-1514. 张凌, 贺春梅, 赵锦华. 穴位贴敷联合温和灸治疗慢性心衰合并失眠的疗效观察[J]. 医药论坛杂志, 2018, 39(4): 35-37. 贾壮壮, 王志刚. 温肾法治疗心肾阳虚型冠心病心绞痛43例疗效观察[J]. 湖南中医杂志, 2017, 33(9): 56-58. 刘永春. 中西医结合治疗慢性心力衰竭(心肾阳虚证)临床效果观察[J]. 河南医学研究, 2017, 26(18): 3353-3354. 吴迪, 王露. 穴位贴敷配合中医护理方案对心衰症状改善的疗效[J]. 内蒙古中医药, 2017, 36(16): 152-153. 石洪, 陈丰, 郑直, 等. 心痛贴膏治疗心肾阳虚型慢性心力衰竭52例[J]. 福建中医药, 2017, 48(4): 15-16. 文阳, 胡志希, 李欣春, 等. 对慢性心衰心阳虚证及其微观指标关系的思考[J]. 湖南中医药大学学报, 2017, 37(2): 229-232. -
期刊类型引用(3)
1. 侯蒙蒙，刘亚利. 术前盐酸戊乙奎醚预处理在腹腔镜子宫全切术中的应用分析. 华夏医学. 2024(01): 116-121 . 
百度学术
2. 刘焰，李国妍，陈超. 利多卡因对脑胶质瘤细胞恶性生物学行为的影响. 湖南师范大学学报(医学版). 2024(03): 16-21 . 百度学术
3. 张艳锋，张岚，韩辉. 银杏叶片联合利多卡因治疗周围性眩晕的临床效果及对患者情绪与前庭功能的影响. 临床合理用药杂志. 2022(32): 15-18 . 百度学术
其他类型引用(3)
计量
- 文章访问数: 368
- HTML全文浏览量: 95
- PDF下载量: 6
- 被引次数: 6
下载:
苏公网安备 32100302010246号