期刊文献+

加味当归补血汤治疗慢性心衰伴贫血疗效观察 被引量:7

Observation of clinical efficacy of modified Danggui Buxue Decoction for chronic heart failure accompanied with anemia
下载PDF
导出
摘要 目的观察加味当归补血汤治疗慢性心衰伴贫血的临床疗效。方法将72例慢性心衰伴贫血患者随机分为观察组和对照组各36例。对照组给予西医基础治疗,观察组则在对照组基础上给予加味当归补血汤,两组均治疗4周,观察2组患者治疗前后中医症状积分、血红蛋白(Hb)、血浆脑利钠肽前体检测(NT-pro BNP)水平、6 min步行距离(6MWT)情况。结果治疗4周后,观察组中医证候总有效率为80.56%,对照组为55.56%,观察组疗效优于对照组(P<0.05)。治疗后2组中医症状积分均较治疗前下降,观察组降低优于对照组(P<0.05)。治疗后2组患者Hb明显升高,血浆NTpro BNP水平明显下降,6MWT明显提高(P<0.05),观察组改善上述指标优于对照组(P<0.05)。结论加味当归补血汤能纠正慢性心衰患者的贫血、改善心功能。 Objective To observe the clinical effect of modified Danggui Buxue Decoction( Danggui Blood Tonification Decoction) on chronic heart failure accompanied with anemia. Methods 72 cases of chronic heart failure accompanied with anemia were randomly divided into the treatment group and the control group with 36 cases in each one. The control group was given western convention medicine,and the treatment group was given modified Danggui Buxue Decoction on the basis of western medicine,both for 4 weeks.Before and after the treatment,TCM symptom scores,hemoglobin( Hb),plasma NT-pro BNP levels,6 minutes walking test( 6 MWT)were observed in both groups. Results After 4 weeks of treatment,the total effective rates of TCM syndromes of the treatment group andthe control group were 80. 56% and 55. 56% respectively,with the therapeutic effect of the treatment group better than that of the control group( P〈0. 05). TCM symptoms scores after the treatment were decreased compared with that before the treatment with in both groups the treatment group more decreased than the control group( P〈0. 05). After the treatment,Hb of both groups was increased,the levels of plasma NT-proB NP was significantly decreased,6 MWT increased( P〈0. 05) with the improvement of the treatment group better than that of the control group( P〈0. 05). Conclusion Modified Danggui Buxue Decoction could correct anemia for patients with chronic heart failure and improve the heart function.
作者 房玉涛 姚贺之 刘桂芳 Fang Yu-tao Yao He-zhi Liu Gui-fang(Department of Cardiology, anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China)
出处 《北京中医药》 2016年第9期843-846,共4页 Beijing Journal of Traditional Chinese Medicine
关键词 慢性心力衰竭 贫血 加味当归补血汤 Chronic heart failure anemia modified Danggui Buxue Decoction
  • 相关文献

参考文献13

  • 1Silverberg DS,Wexler D,Iaina A,et al. The importance ofanemia and its correction in the management of severecongestive heart failure [J]. Eur J Heart Fail,2002,4( 6) : 681-686.
  • 2Tanner H,Moschovitis G,Kuster GM,et al. Theprevalence of anemia in chronic heart failure[J]. Int JCardiol,2002,86( 1) : 115-121.
  • 3He SW,Wang LX. The impact of anemia on the prognosisof chronic heart failure: a meta analysis and systemicreview[J]. Congest Heart Fail,2009,15( 3) : 123-130.
  • 4梁德贤,李庆军,陈康荣.慢性充血性心力衰竭患者贫血患病率与心功能的关系及血红蛋白对预后的影响[J].黑龙江医学,2015,39(7):739-741. 被引量:5
  • 5Ponikowski P,van Veldhuisen DJ,Comin-Colet J,etal. Beneficial effects of long-term intravenous iron therapywith ferric carboxymaltose in patients with symptomaticheart failure and iron deficiency[J]. Eur Heart J,2015,36( 11) : 657-668.
  • 6房玉涛,胡元会,何庆勇,吴华琴.慢性心力衰竭伴发贫血中医治疗思路探讨[J].中国中医药信息杂志,2008,15(11):91-92. 被引量:3
  • 7无.慢性心力衰竭诊断治疗指南[J].中华心血管病杂志,2007,35(12):1076-1095. 被引量:3680
  • 8The criteria Committee of New York Heart Association. 1994revisions to classification of fuctional capacity and objectiveassessment of patients with diseases of the heart [J].Circulation,1994,90( 1) : 644-645.
  • 9Sparrow J,Parameshwar J,Poole-Wilson PA. Assessmentof functional capacity in chronic heart failure: time-limitedexercise on a self-powered treadmill [J]. Br Heart J,1994,71( 4) : 391-394.
  • 10吴大正,宋纯清,韩之芬,樊懿,孔建龙,胡之璧.当归补血汤对心肌缺血再灌注损伤大鼠心功能的作用[J].中药药理与临床,1999,15(5):1-3. 被引量:19

二级参考文献95

共引文献3812

同被引文献120

引证文献7

二级引证文献86

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部