阶跃式呼吸训练加中药治疗肺心病疗效观察及机理探讨

Clinical Observation on Effect of Step Respiration Exercise Combined Chinese Drug Therapy in Treating Pulmonary Heart Disease and Exploration on Its Therapeutic Mechanism

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中文关键词: 阶跃式呼吸自身反搏彩色多普勒肺心病

英文关键词:Step respiration auto electrocardial counterpulsation color Doppler pulmonary heart disease

基金项目:

作者	单位
秦建黎	山西医科大学第二医院
杨学智	山西医科大学第二医院
牛欣	山西医科大学第二医院

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中文摘要:

目的：为肺心病患者提供一种无创性、非药物性和操作简单的自体心电反搏仪，观察由该仪器引导的阶跃式呼吸训练加中药治疗肺心病的疗效。方法：将５０例慢性肺心病患者分为阶跃式呼吸训练组、中药治疗组、阶跃式呼吸训练加中药组。对各组进行治疗前后血气分析和彩色超声多普勒心血管功能测定。结果：３组患者经过３个疗程治疗显示，阶跃式呼吸训练加中药组疗效优于单纯中药治疗组和单纯阶跃式呼吸训练组。结论：呼吸活动对心血管功能有一定影响，通过阶跃式呼吸训练可以明显减慢受试者的心率，减轻心脏后负荷，增加动脉舒张压而增大冠脉入口处压力，增加每搏输出量，减少心脏做功。配合中药祛邪宣肺、降气化痰平喘，健脾补肺纳肾二者起到协同作用。

英文摘要:

Objective: To introduce an auto electrocardial counterpulsation device, which is non invasive, nonmedicative and easy to operate, to patients of pulmonary heart disease. And to observe the therapeutic effect of the step respiration exercise (SRE) induced by the device combined with Chinese drug therapy (CDT) on pulmonary heart disease. Methods: Fifty cases of chronic pulmonary heart disease were divided into SRE group, CDT group and CDT combined SRE group. Blood gas analysis and color ultrasonic Doppler cardiovascular function test were carried out in patients before and after treatment. Results: After 3 courses of treatment, the effect of CDT combined SRE group revealed better than that of the other two groups. Conclusions: Respiration activity has definite influence on cardiovascular function of patients. SRE can significantly lower the heart rate, reduce the afterload, increase the pressure on coronary orifice by raising arterial diastolic pressure, enhance stroke output and alleviate the work of the heart. CDT can enhance the effect of SRE by synergetically removing pathogens to liberate the Lung, arresting the reversed Qi flow to remove Phlegm and relieve asthma, and replenishing the Kidney to control the reversed Qi.

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