中西医结合治疗尿毒症心肌病疗效分析

Efficacy analysis of uremic cardiomyopathy treated with integrated traditional Chinese and western medicine

目的:探讨中西医联合治疗尿毒症心肌病的疗效。方法:50例尿毒症心肌病患者随机分为观察组与对照组,各25例,两组均接受血液透析治疗,对照组予以常规西医治疗,观察组在对照组的基础上加用中药真武汤加减治疗,比较两组疗效。结果:治疗后两组的心功能均显著改善,观察组显著优于对照组(P<0.05);观察组的猝死率为8%,复发率为12.0%,均较对照组的16%、32%显著降低(P<0.05)。结论:中西医结合治疗尿毒症心肌病可改善患者的心功能、贫血状态及生活质量,疗效持续时间长,值得推广应用。

Objective：To investigate the efficacy of uremic cardiomyopathy treated with integrated traditional Chinese and western medicine.Methods：50 cases of uremic cardiomyopathy patients were randomly divided into an observation group and a control group, 25 cases in each. Both groups were given hemodialysis treatment. The control group was treated with conventional western medicine, while the observation group was treated with Traditional Chinese Medicine Zhenwu decoction on the basis of the treatment for the control group, the efficacy of two groups were compared. Results：After treatment, the cardiac functions in the two groups were significantly improved, and the condition of observation group was significantly better than that of the control group（P〈0.05）;the sudden death rate of the observation group was 8%, the recurrence rate was 12%, significantly lower than 16%, 32% in the control group（P〈0.05）.Conclusion：Traditional Chinese Medicine combined western medicine in the treatment of uremic cardiomyopathy can improve the conditions of cardiac function, anemia and quality of life with long time effects which is worthy of application.