摘要
目的观察中西医结合心脏康复治疗慢性心力衰竭患者的临床效果。方法选择2015年1月~2016年1月在北京市怀柔区中医医院住院的慢性心力衰竭患者100例,按随机数字表法将其分为治疗组和对照组,每组各50例。对照组给予常规西医治疗,治疗组在此基础上联合给予中西医结合心脏康复治疗。治疗前、治疗后6个月对两组患者纽约心脏病协会(NYHA)心功能分级、6 min步行试验(6MWT)及中医症状疗效进行评价。结果治疗组心功能疗效总有效率(84.0%)、中医症状疗效总有效率(90.0%)均高于对照组(70.0%、80.0%),差异均有统计学意义(均P<0.05)。治疗后,两组6MWT均较治疗前明显增加,且治疗组增加更为显著,差异有统计学意义(P<0.05)。结论中西医结合心脏康复能显著改善慢性心力衰竭患者的心功能、运动耐量及中医症状。
Objective To observe the clinical efficacy of cardiac rehabilitation of integrated Chinese and western medicine in the treatment of patients with chronic heart failure. Methods One hundred patients with chronic heart failure hospitalized in Traditional Chinese Medicine Hospital of Beijing Huairou from January 2015 to January 2016 were selected and divided into treatment group and control group by random number table, with 50 cases in each group. The control group was treated by conventional western medicine therapy, on basis of which, the treatment group was added with cardiac rehabilitation of integrated Chinese and western medicine. Before treatment and after treatment for 6 months, the cardiac function classification of New York Heart Association （NYHA）, 6-min walking test （6MWT） and the efficacy of traditional Chinese medicine （TCM） symptoms between two groups were compared. Results The total effective rate of cardiac function （84.0%）, TCM symptoms （90.0%） in the treatment group were all higher than those of control group （70.0%, 80.0%）, with statistically significant differences （all P 〈 0.05）. After treatment, 6MWT in both groups were all increased more than those before treatment, and the improvement in the treatment group was more remarkable, with statistically significant difference （P 〈 0.05）. Conclusion Cardiac rehabilitation of integrated Chinese and western medicine can significantly improve the cardiac function, exercise tolerance and TCM symptoms of patients with chronic heart failure.
出处
《中国医药导报》
CAS
2017年第27期157-160,共4页
China Medical Herald
关键词
中西医结合心脏康复
慢性心力衰竭
临床效果
Cardiac rehabilitation of integrated Chinese and western medicine
Chronic heart failure
Clinical efficacy
