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十枣汤穴位贴敷治疗心衰利尿剂抵抗的效果观察 被引量:16

Observation on Therapeutic Effect of Shizao Decoction Acupoint Application on Diuretic Resistance in Patients with Heart Failure
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摘要 目的:观察十枣汤穴位贴敷对于心衰利尿剂抵抗的疗效。方法:选取本院2018年7月-2019年4月收治的心衰利尿剂抵抗患者72例,按随机数字表法分为对照组与观察组,各36例。对照组采用药物治疗,观察组在对照组基础上采用十枣汤穴位贴敷治疗。比较治疗2周后两组中医证候与心功能改善情况,比较治疗前后两组6 min步行试验距离与尿量。结果:治疗2周后,观察组中医证候与心功能改善情况均明显优于对照组(P<0.05)。治疗2周后,两组6 min步行试验距离均高于治疗前(P<0.05),观察组6 min步行试验距离高于对照组(P<0.05)。治疗2周后,两组尿量均多于治疗前(P<0.05),观察组尿量多于对照组(P<0.05)。对照组出现3例低血钾,观察组未出现电解质紊乱。结论:十枣汤穴位贴敷治疗心衰利尿剂抵抗效果显著,安全性好。 Objective:To observe the effect of Shizao Decoction acupoint application on the diuretic resistance in patients with heart failure.Method:A total of 72 patients with heart failure diuretic resistance admitted to our hospital from July 2018 to April 2019 were selected.They were divided into control group and observation group according to the random number table method,36 cases in each group.The control group was treated with drugs,and the observation group was treated with Shizao Decoction acupoint application on the basis of the control group.The improvement of TCM syndromes and cardiac function after 2 weeks of treatment of the two groups were compared,and the distance of 6-minute walking test and urine volume of the two groups before and after treatment were compared.Result:After 2 weeks of treatment,the improvement of TCM syndromes and cardiac function in the observation group were significantly better than those in the control group(P<0.05).After 2 weeks of treatment,the distance of 6 min walking test in both groups were higher than those of before treatment(P<0.05),and the distance of 6 min walking test in the observation group was higher than that in the control group(P<0.05).After 2 weeks of treatment,urine volume in both groups were higher than those of before treatment(P<0.05),and urine volume in the observation group was higher than that in the control group(P<0.05).There were 3 cases of hypokalemia in the control group and no electrolyte disturbance in the observation group.Conclusion:Shizao Decoction acupoint application is effective and safe in treating diuretic resistance of heart failure.
作者 刘淑荣 周淑平 LIU Shurong;ZHOU Shuping(Jilin Academy of Traditional Chinese Medicine,Changchun 130021,China)
出处 《中国医学创新》 CAS 2019年第24期138-141,共4页 Medical Innovation of China
基金 吉林省中医药科技项目(2018092) 吉林省科学技术厅自然科学基金(20170101008JC)
关键词 十枣汤穴位贴敷 心衰 利尿剂抵抗 Shizao Decoction acupoint application Heart failure Diuretic resistance
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