益气活血利水方治疗30例慢性心衰的临床效果观察

发布时间：2018-06-19 05:11

本文选题：益气活血利水方 + 慢性心衰　；参考：《上海医药》2017年07期

【摘要】：目的 :探讨益气活血利水方对慢性心衰患者的临床治疗效果。方法 :选取60例慢性心力衰竭患者随机分为观察组和对照组各30例,对照组采用常规西药治疗,观察组在对照组的基础上加服中药"益气活血利水方",持续治疗2个月。对比两组患者治疗前后LVEF变化、中医症状积分、6 min步行距离、血液BNP及心血管事件发生情况等。结果 :治疗后两组LVEF、6 min步行距离及BNP等均有改善,其中观察组的改善情况更为显著(P0.05)。两组患者治疗后中医病症积分均有下降,其中观察组乏力、胸闷、心悸、腹胀、食欲不振等积分方面下降更为显著(P0.05)。观察组心血管事件发生率显著低于对照组(P0.05)。结论 :采用益气活血利水方治疗慢性心衰具有显著的临床疗效,可降低中医症状积分,改善患者心功能指标,提高患者生活质量。
[Abstract]:Objective: to investigate the clinical effect of Yiqi Huoxue Lishui recipe on chronic heart failure patients. Methods: 60 patients with chronic heart failure were randomly divided into observation group (n = 30) and control group (n = 30). The control group was treated with routine western medicine. The changes of LVEF, 6 min walking distance, blood BNP and cardiovascular events were compared between the two groups before and after treatment. Results: after treatment, the walking distance of LVEF6 min and BNP were improved in both groups, especially in the observation group. The scores of TCM symptoms decreased after treatment in both groups. The scores of fatigue, chest tightness, palpitation, abdominal distension and loss of appetite in the observation group decreased more significantly than those in the control group (P 0.05). The incidence of cardiovascular events in the observation group was significantly lower than that in the control group (P 0.05). Conclusion: the treatment of chronic heart failure with Yiqi Huoxue Lishui recipe has a remarkable clinical effect. It can reduce the score of TCM symptoms improve the cardiac function index and improve the quality of life of the patients.
【作者单位】：新疆乌鲁木齐市中医医院心脑病科;
【分类号】：R259

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