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苏子降气汤联合西医治疗慢性肺源性心脏病心功能衰竭随机平行对照研究 被引量:7

Suzi Drop Decoction Combined Western Medicine Treatment of Chronic Pulmonary Heart Disease,Heart Failure,Randomized Parallel Group Study
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摘要 [目的]观察苏子降气汤联合西医治疗慢性肺源性心脏病心功能衰竭疗效。[方法]使用随机平行对照方法,将42例住院患者按抽签法简单随机分为两组。对照组20例西医常规治疗,控制感染、平喘解痉、吸氧、强心利尿等。治疗组21例苏子降气汤(半夏、当归、前胡、葶苈子各10g,苏子30g,车前子10g,甘草6g;气虚加黄芪、人参;阳虚加桂枝、制附子;热盛加鱼腥草、生石膏;痰浊加竹茹、胆南星;兼有表征加麻黄),1剂/d,温水煎3次,150mL/次,3次/d,口服;西医治疗同对照组。连续治疗7d为1疗程。观测临床症状、血气分析(PaO2、PaCO2)、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组显效9例,有效10例,无效2例,总有效率90.48%。对照组显效7例,有效9例,无效5例,总有效率76.19%。治疗组疗效优于对照组(P<0.05)。血气分析值两组均有改善(P<0.05),治疗组改善优于对照组(P<0.05)。[结论]苏子降气汤联合西医治疗慢性肺源性心脏病心功能衰竭效果显著,值得推广。 [ Objective ] Suzi drop decoction combined Western medicine treatment of chronic pulmonary heart disease, heart failure treatment. [ Methods ] Random parallel control method, 42 patients were randomly divided into two groups. The control group 20 cases conventional treatment, specifically including infection control, asthma antispasmodic, oxygen, cardiac diuretic. Suzi treated 21 cases of lower gas soup (Banxia, Dangui, Qianhu, Tinglizi each 10g, Suzi 30g, Cheqianzi lOg, Gancao 6g; Qi add Huangqi, Renshen; Yang add Guizhi, Zhifuzi; heat plus Yuxingcao, Shengshigao; phlegm plus Zhuru, Dannanxing; both characterization Mahuang), a / d, warm decoction three times, 150mL / time, 3 times / d, orally; Western medicine treatment with the control group. 7d is a continuous course of treatment. Observation of clinical symptoms, blood gas analysis, adverse reactions. Continuous treatment for 3 courses, to determine efficacy. [ Results ] 9 cases, 10 cases, 2 cases, the total efficiency of 90.48%. The control group that were seven cases, effective in 9 cases, five cases, the total efficiency 76.19%. Treatment group than the control group ( P 〈0.05 ) . Blood gas analysis to improve both groups ( P 〈0.05 ), improvement in the treatment group than the control group ( P 〈0.05 ) . [ Conclusion ] Suzi drop decoction combined Western medicine treatment of chronic pulmonary heart disease, heart failure, the effect is significant, it is worth promoting.
作者 孙桂月
出处 《实用中医内科杂志》 2014年第8期97-99,共3页 Journal of Practical Traditional Chinese Internal Medicine
关键词 慢性肺源性心脏病 心功能衰竭 苏子降气汤 血气分析(PaO2、PaCO2) 随机平行对照研究 Chronic pulmonary heart disease heart failure Suzi lower gas soup Blood gas analysis ( PaO2,PaCO2 ) Randomized parallel group study
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