[1]孙小静,张亚峰.参附注射液治疗慢性心力衰竭疗效观察[J].西部中医药,2019,32(05):84-86.
 SUN Xiaojing,ZHANG Yafeng.Clinical Observation on ShenFu Injection in the Treatment for Chronic Heart Failure[J].Western Journal of Traditional Chinese Medicine,2019,32(05):84-86.
点击复制

参附注射液治疗慢性心力衰竭疗效观察
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
32
期数:
2019年05期
页码:
84-86
栏目:
出版日期:
2019-05-15

文章信息/Info

Title:
Clinical Observation on ShenFu Injection in the Treatment for Chronic Heart Failure
文章编号:
1004-6852(2019)05-0084-03
作者:
孙小静1张亚峰2
1 渭南市第一医院药剂科,陕西 渭南 714000; 2 渭南市中心医院药剂科
Author(s):
SUN Xiaojing1, ZHANG Yafeng2
1 Pharmacy Department, The First Hospital of Weinan City, Weinan 714000, China; 2 Pharmacy Department, Weinan City Central Hospital
关键词:
慢性心力衰竭左室射血分数高敏C反应蛋白B型利钠肽参附注射液
Keywords:
chronic heart failure LVEF hs-CRP BNP ShenFu injection
分类号:
R541
摘要:
目的:观察参附注射液治疗慢性心力衰竭的临床疗效。方法:将心力衰竭患者100例随机分为观察组和对照组各50例,对照组给予西医常规治疗,观察组在对照组治疗基础上加用参附注射液50 mL+5%葡萄糖注射液100 mL静脉滴注,1次/d,14天为1个疗程。比较2组患者临床疗效、心率、血压及左室射血分数(LVEF)、高敏C反应蛋白(hr-CRP)、B型利钠肽(BNP)。结果:总有效率观察组为96.0%,高于对照组的82.0%(P<0.05)。治疗后2组患者心率、收缩压、舒张压与治疗前相比均下降(P<0.05),但观察组下降程度与对照组比较差异不明显(P>0.05)。治疗后2组BNP、hr-CRP均较治疗前降低(P<0.05),LEVF和每分输出量增加(P<0.05),观察组改善程度优于对照组(P<0.05)。结论:参附注射液联合西医常规治疗能够改善气阴虚兼血瘀型慢性心力衰竭患者心脏功能,效果优于西医常规治疗。
Abstract:
Objective: To observe curative effects of ShenFu injection in treating chronic heart failure (CHF). Methods: A total of 100 patients were randomized into the observation group and the control group, 50 cases each group, the control group were given conventional therapy of Western medicine, and the observation group accepted intravenous dripping of ShenFu injection, 50mL, and 5% glucose injection, 100 mL, once each day, 14 days were one course. To compare clinical effects, left ventricular ejection fraction (LVEF), high sensitivity C reactive protein (hs-CRP) and B type natriuretic peptide(BNP) between both groups. Results: Total effective rate of the observation group was 96.0%, higher than 82.0% of the control group(P<0.05). After treating, heart rate, systolic pressure and diastolic pressure lowered in both groups compared with before treating(P<0.05), the difference was insignificant when the decrease of the observation group was compared with that of the control group(P>0.05). BNP and hs-CRP of both groups decreased after treating compared with before treating(P<0.05), LVEF and output per minuter increased (P<0.05), the observation group was superior to the control group in the improvement(P<0.05). Conclusion: ShenFu injection based on conventional therapy of western medicine, its effects are superior to only conventional therapy of western medicine could improve cardiac function of CHF patients of Qi and Yin deficiency and blood stasis pattern.

相似文献/References:

[1]李清秀,陈守强△.从运气学说探讨乙未年慢性心力衰竭的诊治规律[J].西部中医药,2015,28(10):84.
[2]刘世梅,胡 琰,杜景柏,等.以心功能分级为依据的中医分型治疗慢性心力衰竭临床观察[J].西部中医药,2018,31(09):97.
 LIU Shimei,HU Yan,DU Jingbai,et al.Clinical Observation on Treating Chronic Congestive Heart Failure by TCM Pattern Treatment on the Foundation of Cardiac Functional Grading[J].Western Journal of Traditional Chinese Medicine,2018,31(05):97.
[3]刘明晖,赵树华△.五苓散治疗慢性心力衰竭60例[J].西部中医药,2017,30(02):74.
 LIU Minghui,ZHAO Shuhua.WuLing San in Treating 60 Cases of Chronic Heart Failure[J].Western Journal of Traditional Chinese Medicine,2017,30(05):74.
[4]李亮,姬艳苏△.黄芪总皂苷对心力衰竭大鼠JAK2和STAT3的影响[J].西部中医药,2018,31(09):17.
 LI Liang,JI Yansu.Effects of Total Saponins of HuangQi on JAK2/STAT3 of the Rats with Heart Failure[J].Western Journal of Traditional Chinese Medicine,2018,31(05):17.
[5]赵丽娴,袁天慧,陈汉裕.冼绍祥教授从“双心”角度论治慢性心力衰竭思想荟萃[J].西部中医药,2020,33(05):38.[doi:10.12174/j.issn.1004-6852.2020.05.11]
 ZHAO Lixian,YUAN Tianhui,et al.Professor Xian Shaoxiang′s Thinking of Treating Chronic Heart Failure Based on the Angle of ″Two Hearts″[J].Western Journal of Traditional Chinese Medicine,2020,33(05):38.[doi:10.12174/j.issn.1004-6852.2020.05.11]
[6]刘颖,李争,张玉焕,等.芪参益气汤联合厄贝沙坦治疗老年慢性心力衰竭临床观察[J].西部中医药,2020,33(06):98.[doi:10.12174/j.issn.1004-6852.2020.06.26]
 LIU Ying,LI Zheng,ZHANG Yuhuan,et al.Clinical observation on Qishen Yiqi Tang and Irbesartan in Treating Senile Patients with Chronic Heart Failure[J].Western Journal of Traditional Chinese Medicine,2020,33(05):98.[doi:10.12174/j.issn.1004-6852.2020.06.26]
[7]张洪磊,郝伟,张婷△.养心益阳汤对慢性心力衰竭患者IL-6、IL-18、hs-CRP水平的影响[J].西部中医药,2020,33(08):86.[doi:10.12174/j.issn.1004-6852.2020.08.22]
 ZHANG Honglei,HAO Wei,ZHANG Ting.Influence of Heart-nourishing Yang-invigorating Decoction on the Levels of IL-6,IL-18 and hs-CRP in CHF Patients[J].Western Journal of Traditional Chinese Medicine,2020,33(05):86.[doi:10.12174/j.issn.1004-6852.2020.08.22]
[8]李星星,李岩,范宗静,等.慢性心力衰竭合并焦虑抑郁的研究进展[J].西部中医药,2021,34(07):150.[doi:10.12174/j.issn.2096-9600.2021.07.38]
 LI Xingxing,LI Yan,FAN Zongjing,et al.Research Progress of Chronic Heart Failure with Anxiety and Depression[J].Western Journal of Traditional Chinese Medicine,2021,34(05):150.[doi:10.12174/j.issn.2096-9600.2021.07.38]
[9]冯思颖,吴威妮,褚庆民,等.基于网络药理学探讨葶苈大枣泻肺汤治疗慢性心力衰竭的作用机制[J].西部中医药,2021,34(05):26.[doi:10.12174/j.issn.2096-9600.2021.05.07]
 FENG Siying,WU Weini,CHU Qingmin,et al.The Mechanism of Tingli Dazao Xiefei Tang in Treating Chronic Heart Failure Based on Network Pharmacology[J].Western Journal of Traditional Chinese Medicine,2021,34(05):26.[doi:10.12174/j.issn.2096-9600.2021.05.07]
[10]寿鑫甜,王禹萌,李学思,等.从辨证复杂性论慢性心力衰竭[J].西部中医药,2021,34(05):140.[doi:10.12174/j.issn.2096-9600.2021.05.36]
 SHOU Xintian,WANG Yumeng,LI Xuesi,et al.On Chronic Heart Failure from the Complexity of Syndrome Differentiation[J].Western Journal of Traditional Chinese Medicine,2021,34(05):140.[doi:10.12174/j.issn.2096-9600.2021.05.36]

备注/Memo

备注/Memo:
收稿日期:2018-08-12 作者简介:孙小静(1975—),女,副主任中药师。研究方向:中药、中西医结合临床用药研究。
更新日期/Last Update: 2019-05-15