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本文报道91例气虚血瘀型心力衰竭(心衰)病人选用丹参和黄芪治疗作用。16例作气囊漂浮导管监测,发现黄芪明显增加心排出量、每搏量及心脏指数,而丹参无此作用,提示黄芪有正性肌力作用;30例给黄芪加党参,治疗后心功能分级及某些异常的血液流变学指标均有改善;44例先丹参,继之丹参加黄芪,治疗后心功能分级有明显改善,且能改善异常的血液流变学指标,明显抑制血小板聚集功能。提示丹参具有活血化瘀改善血液流变学及抑制血小板的聚集性,黄芪有补气强心改善心功能的作用。
This article reported 91 cases of qi deficiency and blood stasis type heart failure (heart failure) patients treated with Salvia miltiorrhiza and astragalus. 16 cases of balloon-floated catheter monitoring, found that jaundice significantly increased cardiac output, stroke volume and heart index, and no effect of Danshen, suggesting that there is a positive inotropic effect of Astragalus; 30 cases to the Astragalus plus Codonopsis, cardiac function classification after treatment And some abnormal hemorheological indicators have improved; 44 cases of Salvia miltiorrhiza, followed by Dan to participate in jaundice, after treatment, heart function grading improved significantly, and can improve the abnormal hemorheological parameters, significantly inhibit platelet aggregation . It is suggested that salvia miltiorrhiza can improve blood rheology and inhibit aggregation of platelets by promoting blood circulation and removing blood stasis. Huangqi has the effect of supplementing qi and strengthening heart to improve cardiac function.