中医温阳利水法治疗心力衰竭效果初步评定

Preliminary evaluation on treating heart failure by the Wenyang Lishui therapy

目的:研究中医温阳利水法治疗心力衰竭的效果。方法:选择郑州市中医院心病科于2014年3月-2016年2月收治的83例心力衰竭患者,将其分为西医常规组(41例)和温阳利水组(42例)。西医常规组予以常规西医疗法治疗;温阳利水组在西医常规组基础上予以中医温阳利水法治疗。观察两组的抗心衰效果、不良反应发生率、治疗前后患者6分钟步行距离、LVEF、hs-CRP、NT-proBNP的差异。结果:温阳利水组相比于西医常规组抗心衰效果更高(P<0.05);两组患者均无明显不良反应发生(P>0.05);治疗前两组6分钟步行距离、LVEF、hs-CRP、NT-proBNP相似(P>0.05);治疗后温阳利水组相比于西医常规组6分钟步行距离、LVEF、hs-CRP、NT-proBNP改善更显著(P<0.05)。结论:中医温阳利水法治疗心力衰竭效果确切,可有效改善患者心功能,且药物作用温和,无明显不良反应,值得推广。

Objective: To study the effect of the Wenyang Lishui therapy on heart failure. Methods: 83 patients were divided into two groups: the routine group (41 cases) and the Wenyang Lishui group (42 cases). The routine group took conventional western medicine therapy; the Wenyang Lishui group took the Wenyang Lishui therapy more. Results: The Wenyang Lishui group has a better effect on heart failure (P<0.05). After treatment, 6 min walking distance, LVEF, hs-CRP, NT-proBNP in the Wenyang Lishui group were improved more significantly, P<0.05. Conclusion: The Wenyang Lishui therapy is effective on heart failure, and can improve the cardiac function of the patients, without obviously adverse reaction.