益气养阴活血法配合西医综合疗法治疗慢性充血性心力衰竭疗效观察

目的:观察益气养阴活血中药汤剂治疗慢性充血性心力衰竭的临床疗效。方法:将56例诊断为慢性充血性心力衰竭、中医诊断为心衰病、辨证为气阴两虚、心血瘀阻的患者随机分为治疗组和对照组各28例,两组均给予西医综合治疗,治疗组同时口服益气养阴活血中药汤剂,每日1剂,早晚分服,连续服用2周。结果:治疗2周后,治疗组临床症状总有效率为96.4%,心功能分级总有效率为89.3%;对照组临床症状总有效率为89.3%,心功能分级总有效率为71.4%。两组比较,治疗后治疗组临床症状改善、心功能分级、6min步行距离及脑钠钛、左室射血分数方面均优于对照组,差异有统计学意义(P<0.05)。结论:益气养阴活血中药能明显改善慢性充血性心力衰竭气阴两虚、心血瘀阻患者的临床症状。

Effect Observation of Qi-Supplementing-and-Yin-Nourishing-and-Blood Circulation-Activating Method with Western Medicine Comprehensive Therapy in the Treatment of Chronic Congestive Heart Failure

Objective:To investigate the clinical effect of Yiqi Yangyin Huoxue Decoction in treatment of chronic congestive heart failure.Methods:56 patients with diagnosis of chronic congestive heart failure and traditional Chinese medicine diagnosis of heart failure,syndrome differentiation of yin deficiency of heart blood stasis,were randomly divided into treatment group and control group with 28 cases in each group,both groups were given western medicine therapy,treatment group patients were given orally Chinese native medicine of Yiqi Yangyin Huoxue Decoction,they took a dose twice a day for 2 weeks.Results:After 2 weeks,for the treatment group,the total effective rate of improving symptoms was 96.4%,total effective rate of heart function classification was 89.3%;while the control group’s data were 89.3% and 71.4%.Comparing the results of two groups,the treatment group was superior to control group at symptoms improvement,heart function classification,6-minute walking test,brain sodium titanium and left ventricular ejection fraction.The difference was statistically significant(P<0.05).Conclusion:Yiqi Yangyin Huoxue Decoction could obviously improve the clinlcal symptoms of patients with chronic congestive heart failure and both Qi and yin deficiency and heart blood stasis.