中医辨证施治为主治疗心血管病术后并发症的临床观察

Clinical Observation on Treatment of Postcardiotomic Complications with Chinese Herbal Medicine Based on Syndrome Differentiation with Angiocardiopathy

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中文关键词: 心血管病术后并发症中医药疗法

英文关键词:angiocardiopathy post operational complication Chinese herbal medicine

基金项目:

作者	单位
马丽红	中国医学科学院协和医科大学阜外心血管病医院
焦增绵	中国医学科学院协和医科大学阜外心血管病医院
张瑞华	中国医学科学院协和医科大学阜外心血管病医院

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中文摘要:

目的：观察运用中医辨证论治为主治疗心血管病术后并发症的临床疗效。方法：针对心血管病手术治疗后各系统常见的并发症：发热、咳嗽咯痰、呃逆腹胀、心悸气短等，在常规西药强心、利尿、扩血管、抗凝及抗感染治疗不变的基础上，根据中医辨证施治原则分型施治。结果：术后持续发热并经多种抗生素治疗效果不佳的２２例患者，中药治疗后２０例显效，１例因大量胸腔积液转内科治疗，１例为药物热，停药后自愈；术后以呼吸系统症状为主的２３例患者，１７例显效，６例有效；术后以消化系统症状为主的１５例患者，１２例治愈，３例好转；术后以心血管系统症状为主的７例患者，３例治愈，２例好转，２例无效。结论：中医辨证施治对心血管病手术后的并发症有较好疗效，可促进患者心肺功能的恢复。

英文摘要:

Objective: To study the effect of Chinese herbal medicine (CHM) based on Syndrome Differentiation on postcardiotomic complications in patients with angiocardiopathy. Methods: Aimed at the frequently encountered postcardiotomic complications including fever, cough and expectoration, belching, abdominal distension, palpitation, short breath, etc. CHM treatment was applied in combination with routine western drugs treatment (cardiac tonic, diuretics, vascular dilatator and anticoagulant). Results: Twenty out of 22 patients with protracted fever and irresponsive to multi antibiotics therapy were cured, the other one with hydrothorax received other therapy and the another one with drug fever was natural cured after stopping medication. Among 23 patients complicated mainly with respiratory symptoms, 17 were cured and 6 improved, among 15 with digestive symptoms, 12 cured and 3 improved, and among 7 with cardiovascular symptoms, 3 cured, 2 improved and 2 ineffective. Conclusion: CHM has good effect on postcardiotomic complications, it could improve the functional recovery of heart and lung.

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