益气活血法对充血性心力衰竭患者疗效和心功能的影响

目的 比较益气活血法、益气法、活血法治疗充血性心力衰竭患者的临床疗效和对心功能的影响.方法 将80例患者随机分为3组,3组患者均在常规治疗下分别加入益气活血药（36例）、益气药（24例）及活血药（20例）.治疗2周后对3组患者临床疗效和心功能测定指标进行比较.结果 临床疗效总有效率益气活血组（91.7%）,分别与益气组（66.7%）、活血组（65.0%）比较,差异均有显著性（P＜0.05,P＜0.01）;心功能测定指标3组治疗前后比较,差异均有显著性（P＜0.05,P＜0.01）;治疗后益气活血组与益气组、活血组比较,差异均有显著性（P＜0.05）.结论 3组治疗方法均可以改善临床症状、改善心功能,但益气活血法较单纯益气法、单纯活血法治疗效果更佳.

Effects of Yiqi Huoxue Method on Cardiac Function in Patients with Congestive Heart Failure

Objective To compare the clinical effect of three TCM therapeutic methods, Yiqi (YQ, supplementing Qi), Huoxue (HX, activating blood circulation) and Yiqi Huoxue (YQHX) method on congestive heart failure and heart function. Methods Eighty patients were divided into 3 groups randomly, they were treated by conventional therapy and with the additional TCM drugs for YQHX to group A (n=36), drugs for YQ to group B(n=24), and drugs for HX to group C (n=20). After 2 weeks' treatment, clinical effect was observed and cardiac function was detected and compared. Results The total effective rate was 91.7% in group A, which was superior to that in group B(66.7%) and group C (65.0%) respectively. Cardiac function was improved remarkably after treatment in all groups, the optimal effect was shown in group A. Conclusion All the 3 methods could improve clinical symptoms and cardiac function in patients with congestive heart failure, a-mong which YQHX method has the optimal effect.