摘要
Abstract
Objective To explore the clinical effect of Taohong Siwu decoction combined with Wuling powder in the treatment of heart failure edema and its influence on prognosis.Methods A total of 60 patients with heart failure and edema diagnosed and treated in Wannian County Hospital of Traditional Chinese Medicine from January 2021 to January 2023 were selected as the research objects.All patients were divided into study group and control group according to the random number table method,with 30 patients in each group.The patients in the control group were treated with western medicine,and the patients in the study group were treated with Taohong Siwu decoction and Wuling powder.The total effective rate of clinical treatment,related clinical treatment observation indexes[arterial partial pressure of oxygen(PaO2),blood oxygen saturation(SaO2),partial pressure of carbon dioxide(PCO2),heart rate(HR),serum N-terminal natriuretic peptide(NT-ProBNP)],cardiac function[left ventricular end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVDD),cardiac ejection fraction(EF value)]and adverse reactions(headache,drowsiness,dizziness,hypokalemia,gastrointestinal reaction)were compared between the two groups.Results The total effective rate of treatment in the study group was higher than that in the control group(P＜0.05).After treatment,the levels of SaO2,PaO2 and PCO2 in the study group were higher than those in the control group,and the levels of NT-ProBNP and HR in the study group were lower than those in the control group(P＜0.05).After treatment,the levels of LVDD and LVESD in the study group were lower than those in the control group,and the EF value was higher than that in the control group(P＜0.05).The incidence of adverse reactions in the study group was lower than that in the control group(P＜0.05).Conclusion Taohong Siwu decoction combined with Wuling powder in the treatment of patients with heart failure and edema can improve the clinical treatment effect of patients,improve the clinical observation indexes and cardiac function of patients,and reduce the occurrence of adverse reactions.关键词
桃红四物汤/五苓散/加减治疗/心衰水肿/预后Key words
Taohong Siwu decoction/Wuling powder/Modified therapy/Heart failure and edema/Prognosis分类
医药卫生
