|
|
Effects of Yangxin Tongmai Mixture on cardiac function and neuroendocrine factor of patients with chronic heart failure |
HE Xin-bing1 WEN Zhi-hao1 LIU Xue-ling2 PAN Chao-xin1 WANG Qing-gao1 HUANG Ming-jian1 |
1.Deparment of Cardiovasology,the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Nanning 530023,China;
2.Deparment of Ultrasonography,the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Nanning 530023,China
|
|
|
Abstract Objective To observe the effect of Yangxin Tongmai Mixture on the cardiac function and neuroendocrine factors in patients with chronic heart failure.Methods 69 patients with chronic heart failure patients in our hospital from June 2013 to December 2015 were divided into control group(n=33)and treatment group(n=36)according to random number table method,patients in the control group were treated routinely with western medicine,while patients in the treatment group were added with Yangxin Tongmai Mixture.The change of AngiotensinⅡ(AngⅡ),N-terminal brain natriuretic peptide precursor(NT-ProBNP)and left ventricular ejection fraction(LVEF),A ldosterone(ALD),level before and after treatment were compared.Results There was no significant difference in the levels of NT-ProBNP,LVEF,AngⅡand ALD before treatment between two groups(P>0.05).After 8 weeks of treatment,LVEF level in two groups was higher than that before treatment,while NT-ProBNP level was significantly decreased (P<0.01),and which in the treatment group was significantly improved,the difference was statistically significant(P<0.05).After 8 weeks of treatment,the levels of AngⅡ and ALD in two groups was lower than that before treatment,the difference was statistically significant (P<0.05),which in the treatment group was significantly lower than that in the control group(P<0.05).Conclusion Yangxin Tongmai Mixture can significantly improve the cardiac function and quality of life of patients with chronic heart failure, suppress over activation of neuroendocrine.
|
|
|
|
|
[1] |
梁逸强,潘朝锌,何新兵,等.心室重构防治研究的进展[J].心血管康复医学杂志,2013,22(4):425.
|
[2] |
何新兵,卢健棋,刘雪玲,等.养心通脉饮对慢性心衰患者心室重构及NT-ProBNP影响临床研究[J].新中医,2014,46(7):25-26.
|
[3] |
何新兵,温志浩,刘雪玲,等.实时三维超声评价养心通脉饮对慢性心力衰竭患者左室重构的治疗效果[J].广州中医药大学学报,2016,33(6):772-775.
|
[4] |
国家卫生和计化生育委员会.《涉及人的生物医学研究伦理审查办法(试行)》(卫科教发〔2007〕17号)[Z].2007.
|
[5] |
中华医学会心血管病分会,中华心血管病杂志编辑委员会.慢性心衰竭诊断治疗指南[J].中华心血管杂志,2007,37(12):1076-1095.
|
[6] |
国家中医药管理局医政司.24专业105个病种中医诊疗方案(试行版),心衰病(慢性心力衰竭)中医诊疗方案[Z]. 2011:59-64.
|
[7] |
王建华.实时三维超声心动图的临床应用和研究现状[J].中华医学超声学超声杂志(电子版),2013,10(3):169.
|
[8] |
王敏,郭盛兰.实时三维超声心动图对高血压左室重构评价的研究[J].广西医科大学学报,2009,26(3):487.
|
[9] |
陈伟伟,高润霖,刘力生,等.《中国心血管病报告2015》概要[J].中国循环杂志,2016,31(6):521-522.
|
[10] |
何新兵,卢健棋.中医中药治疗慢性心力衰竭作用机制研究进展[J].广西中医药,2015,38(5):32-33.
|
[11] |
李金辉,鲁卫星.慢性心力衰竭中医病机演变规律探讨[J].吉林中医药,2011,31(10):933-934.
|
[12] |
廖月玲,刘艳,顾燕频,等.金匮肾气丸对异丙肾上腺素致心室重构大鼠神经体液因子的调节[J].中国实验方剂学杂志,2012,18(14):184-188.
|
[13] |
黄敏华,徐燕,姚成增,等.慢性心力衰竭心气虚、心阳虚、心肾阳虚3个不同病程阶段中医药干预临床研究[J].辽宁中医杂志,2014,41(6):1095-1098.
|
[14] |
杨海波,李振民,阚秀莲,等.黄芪对慢性心力衰竭患者左室重构的影响[J].中西医结合心脑血管病杂志,2010,8(9):1031-1032.
|
[15] |
顾颖敏.加服真武汤加味治疗阳虚水泛型心衰的临床研究[J].广西中医药,2012,35(2):12-14.
|
|
|
|