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慢性心力衰竭是大多数心血管疾病的最终归宿,也是心血管疾病最主要死因。丁邦晗教授认为慢性心力衰竭的治疗首先应遵照《中国心力衰竭诊断与指南2014》,坚持“金三角”用药,注重发挥血管紧张素转换酶抑制剂(ACEI)或血管紧张素Ⅱ受体阻滞剂(ARB)+β受体阻滞剂+醛固酮拮抗剂的协同作用;其次,视具体情况择优采用减轻心脏负荷的药,如对于心功能差的患者可采用洋地黄+螺内酯联合应用;第三,在改善临床症状方面,要发挥中医药的优势。慢性心力衰竭患者辨证多属心气不足、水瘀互结,故应重视补气,处理好补气与温阳的关系;最后,强调要用好中成药,中成药是现代药物治疗心衰的有效补充,既可改善症状,也可改善预后。
Chronic heart failure is the ultimate fate of most cardiovascular diseases and is the leading cause of cardiovascular disease. Professor Ding Banghan believes that the treatment of chronic heart failure should first follow the “China Heart Failure Diagnosis and Guide 2014”, adhere to the “Golden Triangle” medication, focusing on the play of angiotensin converting enzyme inhibitor (ACEI) or angiotensin Ⅱ receptor block (ARB) + beta blockers + aldosterone antagonists synergistic; second, depending on the circumstances preferred to reduce the load of the heart of the drug, such as patients with poor heart function can be used digitalis + spironolactone combination; third , In improving clinical symptoms, to play the advantages of Chinese medicine. In patients with chronic heart failure syndrome are mostly apathetic, water stasis each knot, it should pay attention to qi and deal with the relationship between qi and yang; Finally, stressed the need to make good use of proprietary Chinese medicines, traditional Chinese medicine is a modern drug treatment of heart failure effective Supplement, can improve the symptoms, but also improve the prognosis.