1. 北京中医药大学东直门医院
2. 平谷区中医院
3. 北京中医药大学东直门医院东区
纸质出版:2013
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[1]杨雪卿,李雪峰,王显,朱海燕,景国际,刘大伟,周红梅,郭金瑞.络风宁2号及其拆方对心肾综合征患者生存质量的影响[J].中医杂志,2013,54(23):2024-2027.
YANG Xueqing, LI Xuefeng, WANG Xian, et al. Effects of Luofengning No.2 Formula and Its Disassembled Prescriptions on the Quality of Life in Patients With Cardiorenal Syndrome[J]. Journal of Traditional Chinese Medicine2013, 54(23): 2024-2027.
[1]杨雪卿,李雪峰,王显,朱海燕,景国际,刘大伟,周红梅,郭金瑞.络风宁2号及其拆方对心肾综合征患者生存质量的影响[J].中医杂志,2013,54(23):2024-2027. DOI: 10.13288/j.11-2166/r.2013.23.013.
YANG Xueqing, LI Xuefeng, WANG Xian, et al. Effects of Luofengning No.2 Formula and Its Disassembled Prescriptions on the Quality of Life in Patients With Cardiorenal Syndrome[J]. Journal of Traditional Chinese Medicine2013, 54(23): 2024-2027. DOI: 10.13288/j.11-2166/r.2013.23.013.
目的观察络风宁2号及其拆方对心肾综合征患者生存质量的影响。方法将46例心肾综合征患者随机分为全方组12例、风药组10例、去风药组9例、西药组15例。西药组给予常规治疗心力衰竭西药
全方组在西药组基础上口服络风宁2号颗粒剂
每日2次
每次17.625g;风药组在西药组基础上口服风药方颗粒剂(风药方为络风宁2号中仅保留风药)
每日2次
每次3.525g;去风药组在西药组基础上口服去风药方颗粒剂(络风宁2号方中去除风药)
每日2次
每次14g。各组疗程均为3个月。治疗前后进行明尼苏达心衰生存质量量表(MLHFQ)评分、6分钟步行试验及典型心肾症状量化评分
并治疗后评价临床疗效。结果治疗后全方组临床疗效总有效率为75.00%
风药组为70.00%
去风药组为33.33%
西药组为26.67%
全方组优于风药组
风药组优于去风药组
去风药组优于西药组(P<0.01)。治疗后全方组、风药组、去风药组患者MLHFQ评分明显下降(P<0.05或P<0.01);治疗后各组患者6分钟步行距离均明显延长(P<0.05)。治疗后全方组、风药组患者MLHFQ评分及6分钟步行距离改善明显优于西药组、去风药组(P<0.05或P<0.01)。治疗前后各组患者典型心肾症状量化评分差异均无统计学意义(P>0.05)。结论络风宁2号全方可明显提高心肾综合征患者的生存质量
并且临床疗效优于其拆方疗效。
Objective To observe the effects of Luofengning No.2Formula and its disassembled prescriptions on the quality of life(QOL)in patients with cardiorenal syndrome.Methods Totally 46cases of cardiorenal syndrome were randomized into the whole formula group of 12cases
wind medicinal group of 10cases
wind medicinal-free group of 9cases and western medicine group of 15cases.The western medicine group was given routine anti-heart failure drugs.The whole formula group was added with 17.625g granules of Luofengning No.2Formula twice daily.The wind medicinal group was added with 3.525g granules of wind medicinal(wind-dispelling dampness-eliminating medicinal retained only in Luofengning No.2Formula)twice daily.The wind medicinal-free group was added with 14g granules of Luofengning No.2Formula removed wind medicinal
twice daily.The treatment lasted for 3months.The Minnesota Living with Heart Failure Questionnaire(MLHFQ)
6-minute walking test(6MWT)and quantitative scores of typical symptoms of heart and kidney were evaluated before and after treatment.The therapeutic effect was evaluated after treatment.Results The total effective rate of the whole formula group
wind medicinal group
wind-free medicinal group and western medicine group was 75.00%
70.00%
33.33%and 26.67%respectively.The total effective rate of the whole formula group was superior to that of the wind medicinal group
the total effective rate of the wind medicinal group was superior to that of the without-wind medicinal group and the total effective rate of the without-wind medicinal group was superior to that of the western medicine group(P<0.01).The MLHFQ scores were significantly decreased(P<0.05or P<0.01)but the 6MWT distance was significantly prolonged(P<0.05)in the whole formula group
wind medicinal group and without-wind medicinal group after treatment
especially in the whole formula group and wind medicinal group(P<0.05or P<0.01).The quantitative scores of typical symptoms of heart and kidney showed no obvious improvement in all groups after treatment(P>0.05).Conclusion Luofengning No.2Formula can obviously improve the QOL of cardiorenal syndrome patients with a better efficacy as compared with its disassembled prescriptions.
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