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The cardiac ejection function was measured by echocardiography. The results showed that the E/A and LVEF of the integrated group were higher than those of the control group, while the LVES and LVED were lower than those of the control group; the incidence of adverse reactions such as hypokalemia, cough, and hyperkalemia in the integrated group was lower than that in the control group; the QOL score in the integrated group was higher than that in the control group. This suggests that Shengmaiyin combined with western medicine has certain advantage in the treatment of acute severe heart failure, which can further improve cardiac function, enhance left ventricular ejection ability, reduce adverse reactions and improve the prognosis and quality of life of patients., authors=XI Tao, CHENG Zejun, XING Xinjun, GU Wei, authorsList=XI Tao, CHENG Zejun, XING Xinjun, GU Wei, authorCompany=Emergency Department of Beijing Chuiyangliu Hospital, Beijing 100021, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=kgB4wWV9XKMAZcY3cYGL0Q==, pdfFileSize=587262, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), 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科技导报 |专题:中医药传承与临床实践 2022 , 40 (23) : 30 -36
中西医结合在急诊治疗重症心力衰竭中的优势及对心脏射血能力的影响
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习涛, 程泽君, 邢新军, 顾伟
作者信息
    北京市垂杨柳医院急诊科, 北京 100021
通讯作者:
顾伟(通信作者),主任医师,研究方向为急诊危重症,电子信箱:banditgu@163.com
作者简介:
习涛,主治医师,研究方向为急诊内科及糖尿病诊疗,电子信箱: jianjia325@163.com
Advantages of the integrated traditional Chinese and western medicine in emergency treatment of severe heart failure and the effects on cardiac ejection ability
  • XI Tao, CHENG Zejun, XING Xinjun, GU Wei
  • Affiliations
      Emergency Department of Beijing Chuiyangliu Hospital, Beijing 100021, China
    出版时间: 2022-12-13 doi: 10.3981/j.issn.1000-7857.2022.23.003
    文章导航
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    以北京市垂杨柳医院急诊科2019年7月至2020年7月收治的急性重症心衰患者作为研究对象,通过回顾性平行对照临床研究,比较标准西医方案(对照组:螺内酯+卡托普利)与中西医联合方案(螺内酯+卡托普利+生脉饮)的疗效和预后,采用超声心动图检测心脏射血功能,指标包括:二尖瓣舒张早期流速/舒张晚期流速(E/A)、左室收缩末期内径(LVES)、左室舒张末期内径(LVED)、左室射血分数(LVEF)以及药物安全性及患者预后的生活质量量表(QOL)评分。结果发现,中西医组的E/A、LVEF高于对照组,而LVES、LVED低于对照组;中西医组的低血钾、咳嗽、高血钾等不良反应发生率低于对照组;中西医组预后的QOL评分高于对照组;说明生脉饮联合西医方案治疗急性重症心力衰竭具有一定的优势,可进一步改善心功能、增强左室射血能力,降低不良反应,改善患者预后生活质量。
    中西医结合  /  重症心力衰竭  /  急诊治疗  /  左室射血分数  /  生脉饮  /  卡托普利  /  螺内酯
    Patients with acute severe heart failure treated in the emergency department of Chuiyangliu Hospital from July 2019 to July 2020 were taken as the research subjects in this retrospective parallel controlled clinical study to compare the efficacy and prognosis between the standard western medicine treatment (control group: spironolactone+captopril) and integrated traditional Chinese and western medicine treatment (integrated group: spironolactone+captopril+Shengmai Decoction). The cardiac ejection function was measured by echocardiography. The results showed that the E/A and LVEF of the integrated group were higher than those of the control group, while the LVES and LVED were lower than those of the control group; the incidence of adverse reactions such as hypokalemia, cough, and hyperkalemia in the integrated group was lower than that in the control group; the QOL score in the integrated group was higher than that in the control group. This suggests that Shengmaiyin combined with western medicine has certain advantage in the treatment of acute severe heart failure, which can further improve cardiac function, enhance left ventricular ejection ability, reduce adverse reactions and improve the prognosis and quality of life of patients.
    integrated traditional Chinese and western medicine  /  severe heart failure  /  emergent treatment  /  left ventricular ejection fraction  /  Shengmai Decoction  /  captopril  /  spironolactone
    习涛, 程泽君, 邢新军, 顾伟. 中西医结合在急诊治疗重症心力衰竭中的优势及对心脏射血能力的影响. 科技导报, 2022 , 40 (23) : 30 -36 . DOI: 10.3981/j.issn.1000-7857.2022.23.003
    XI Tao, CHENG Zejun, XING Xinjun, GU Wei. Advantages of the integrated traditional Chinese and western medicine in emergency treatment of severe heart failure and the effects on cardiac ejection ability[J]. Science & Technology Review, 2022 , 40 (23) : 30 -36 . DOI: 10.3981/j.issn.1000-7857.2022.23.003

      北京市朝阳区科技计划项目(CYSF2049)

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    doi: 10.3981/j.issn.1000-7857.2022.23.003
    • 接收时间:2022-06-01
    • 首发时间:2022-12-12
    • 出版时间:2022-12-13
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    • 收稿日期:2022-06-01
    • 修回日期:2022-08-30
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    顾伟(通信作者),主任医师,研究方向为急诊危重症,电子信箱:banditgu@163.com
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    https://castjournals.cast.org.cn/joweb/kjdb/CN/10.3981/j.issn.1000-7857.2022.23.003
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    2种不同金属材料的力学参数

    Family
    属数
    Number of
    genus
    种数
    Number of
    species
    占总种数比例
    Percentage of
    total species (%)

    Genus
    种数
    Number of
    species
    占总种数比例
    Percentage of total
    species (%)
    鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
    小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
    多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
    红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
    小菇属 Mycena 11 5.26
    光柄菇属 Pluteus 5 2.39
    红菇属 Russula 17 8.13
    栓菌属 Trametes 5 2.39
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