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中文摘要: 目的:观察合水县60例慢型克山病患者中西医结合治疗的效果, 探索适合病区患者的克山病治疗模式。方法:
选择合水县已确诊的60例慢型克山病患者,随机分为两组,每组各30例,采用家庭病床管理模式,常规治疗组给予西药治
疗 (包括双氢克尿塞片、依那普利片、卡维地洛片和地高辛片)。补加中药组除常规西药治疗外,加用自拟加味生脉散,两
组均以 30 d 为 1 个疗程,治疗 3 个疗程后判定疗效。 结果: 补加中药组显效 4 例,有效 11 例,无效 15 例,有效率为
50.00%;常规治疗组显效 1 例,有效 10 例,无效 19 例,有效率为 36.67%,两组对比差异有统计学意义 (Z=-2.187,P= 0.029)。结论: 加味生脉散联合西药治疗慢型克山病疗效确切,配合家庭病床管理模式,值得在克山病病区推广应用。
Abstract:OBJECTIVE To observe the curative effect of integrated traditional Chinese and western medicine on 60 patients with
chronic Keshan disease in Heshui, and to explore the suitable treatment mode of chronic Keshan disease for patients. METHODS 60
patients with chronic Keshan disease diagnosed in Heshui were selected and randomly divided into two groups, 30 cases in each
group by family bed management mode. The conventional treatment group was given western medicine treatment (including dihydro⁃
keturesis tablets, enalapril tablets, carvedilol tablets, digoxin tablets). In addition to conventional western medicine and self-de⁃
signed, it added Shengmai powder. The two groups were treated for 30 days as a course of treatment, and the efficacy was deter⁃
mined after 3 courses of treatment. RESULTS In the group of Chinese medicine supplementation, 4 cases were significantly effective,
11 cases were effective, 15 cases were ineffective, and the effective rate was 50.00%. In the conventional treatment group, 1 case
was significantly effective, 10 cases were effective, 19 cases were ineffective, and the effective rate was 36.67%. The difference be⁃
tween the two groups was statistically significant (Z=-2.187,P=0.029). CONCLUSION Jiaweishengmai powder combined with west⁃
ern medicine had a definite efficacy in the treatment of chronic Keshan disease. Combined with the family bed management mode, it
was worth popularizing and using in chronic Keshan disease area.
文章编号:3202108023 中图分类号:R542.3 文献标志码:
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