Medicine:参附强心丸治疗慢性心力衰竭的疗效及安全性

2020-07-31 MedSci原创 MedSci原创

心力衰竭(HF)是各种心脏疾病的终末阶段,预后不良。中医、西医综合疗法一直被认为是慢性心力衰竭(CHF)的一种前瞻性治疗策略。目前已有小规模临床试验和实验研究证明参附强心丸(SFQX)治疗CHF的疗效

心力衰竭(HF)是各种心脏疾病的终末阶段,预后不良。中医、西医综合疗法一直被认为是慢性心力衰竭(CHF)的一种前瞻性治疗策略。目前已有小规模临床试验和实验研究证明参附强心丸(SFQX)治疗CHF的疗效,但仍缺乏进一步的高质量试验。本文介绍SFQX在CHF(心肾阳虚综合征)患者中的临床评估方案。

 

采用随机、双盲、平行组、安慰剂对照的多中心试验设计,评估SFQX治疗CHF的疗效和安全性。纳入来自中国22家医院的352名CHF(心肾阳虚综合征)患者。除了标准化西药外,患者将随机接受SFQX或安慰剂治疗12周。主要结果是血浆N-末端亲B型钠肽水平,由中心实验室统一测定。次要结果包括复合终点事件(HF恶化导致的住院、全因死亡率、其他严重血管事件)、超声心动图指标、纽约心脏协会(NYHA)功能分级的等级、6分钟步行试验(6MWT)结果、明尼苏达心力衰竭生活问卷和中医综合征评分。

 

中医、西医综合疗法在我国已发展成为一种治疗模式。该试验的严格设计将保证对SFQX治疗CHF的疗效和安全性进行客观、科学的评估。

 

原始出处:

 

Lijun GuoHui Yuan,et al., A multi-center, randomized, double-blind, placebo-parallel controlled trial for the efficacy and safety of shenfuqiangxin pills in the treatment of chronic heart failure (Heart-Kidney yang deficiency syndrome). Medicine (Baltimore). 2020 May 22;99(21):e20271. doi: 10.1097/MD.0000000000020271.

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    2020-11-11 jeanqiuqiu
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    2021-06-01 kalseyzl
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    2020-08-01 lovetcm

    #心衰#这是中药治疗的研究设计。

    0

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    2020-07-31 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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3月5日下午,湖北省新冠病毒肺炎疫情防控工作指挥部召开第39场新闻发布会,介绍鄂州市疫情防控工作和贵州省对口支援情况。 发布会上有记者提问,贵州援鄂医疗队到达鄂州之后,就投入到医疗救治中。请具体介绍一下医疗队参与鄂州救治工作的做法和成效有哪些?“加强中医特色治疗,贵州中医药大学专门派了专家团队运了10吨中药到鄂州。” 贵州省援鄂医疗队前线指挥部成员、专家组组长、贵州医科大学附属医院副院长