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许建中,史庆敦,张元隆,靖旭荔,张燕萍,孟永利.益气活血药治疗肺心病急性发作期的疗效分析[J].,1988,(1):7-9,3
益气活血药治疗肺心病急性发作期的疗效分析
Clinical Effect of "Yiqi Huoxue" Principle in Acute Stage of Cor Pulmonale
  
DOI:
中文关键词:  益气活血方药  肺心病急性发作期  益气活血药  血液流变学  肺心病急发期  显著性差异  益气活血法  血液气体分析  葡萄糖液  凝血象
英文关键词:
基金项目:
Author NameAffiliation
Xu Jianzhong 中国中医研究院西苑医院呼吸病研究室 
史庆敦 中国中医研究院西苑医院呼吸病研究室 
张元隆 中国中医研究院西苑医院呼吸病研究室 
靖旭荔 中国中医研究院西苑医院呼吸病研究室 
张燕萍 中国中医研究院西苑医院呼吸病研究室 
孟永利 中国中医研究院西苑医院呼吸病研究室 
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中文摘要:
      本文报道160例肺心病急性发作期住院患者,分成益气活血组(西药加中医辨证论治加益气活血药)及对照组(西药加中医辨证论治)。治疗结果:益气活血组总有效率90.77%,显效率44.62%,皆优于对照组83.16%、32.63%(P<0.05)。同时观察血液气体分析、凝血象、血液流变学主要指标,益气活血组治疗前后有显著性差异(P<0.05),而对照组差异不显著(P>0.05)。从临床疗效及实验室检查都说明益气活血法可提高肺心病的疗效。
英文摘要:
      From 1980 to 1987,160 acute stage cases of cot pulmonale were hospitalized and were divided randomly into two groups.Group A:65 cases were treated with combined TCM-WM therapy plus Yiqi Huoxue(YQHX,replenishing Qi and promoting the blood circulation)herbaI drugs;Group B (control group):95 cases were treated with the same TCM-WM therapy,but without YQHX drugs The age,sex,disease condition,course of disease and major complication(respiratory and heart failures)were very similar in both groups,and were not significantly different statistically(P>0.05) The therapeutical effect of group A and group B were: 44.62%(29/65)and 32.63%(31/95)were markedly effective,46.15%(30/65)and 50.53%(48/95)were improving,and 6.15%(4/65)and 10.53% (10/95)were ineffective;the total effective rate was 90.77% and 83.16% respectively.The marked effectiveness and total effective rate were significantly different statistically(P<0.05).Meanwhile the experimental parameters such as the analysis of blood gas,hemorheology(whole blood viscosity, plasma viscosity,hematocrit),the blood coagulation were measured in part of the patients.In group A,except plasma viscosity,all the above criteria were markedly improved as compared with the level before treatment(P<0.05).But group B had no obvious change whatsoever(P>0.05).There fore,it suggests that the YQHX principle is a valuable method in treating the acute stage of cot pulmonale.
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