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目的观察中西医结合治疗对慢性心力衰竭(CHF)患者生命质量的影响。方法将60例符合入选标准的CHF患者随机分为治疗组(30例)和对照组(30例),对照组给予西医基础治疗,治疗组在对照组治疗基础上加服通阳活血方,疗程3周,分别于治疗前后对患者进行生命质量量表问卷调查,并进行至少3个月的随访。结果明尼苏达心功能不全生命质量量表调查显示,2组均可以减少CHF患者明尼苏达生命质量积分(P<0.01),且治疗组优于对照组(P<0.01);2组治疗后SF-36生活质量量表总积分均较治疗前增加(P<0.01),且治疗组优于对照组(P<0.05),并且治疗组远期疗效较好。结论中西医结合治疗CHF较单纯西医治疗效果更佳。通阳活血方能显著改善CHF患者生命质量,远期疗效好。
Objective To observe the effect of integrated traditional Chinese and western medicine on the quality of life in patients with chronic heart failure (CHF). Methods Sixty CHF patients eligible for inclusion were randomly divided into treatment group (n = 30) and control group (n = 30). The control group was treated with Western medicine. The treatment group was given Tong Yang Huoxue Recipe on the basis of the control group. 3 weeks, before and after treatment of patients with quality of life questionnaire, and at least 3 months of follow-up. Results The Minnesota Heart Failure Quality of Life Scale survey showed that both groups could reduce the Minnesota Quality of Life Points (P <0.01), and the treatment group was better than the control group (P <0.01); SF-36 life after treatment The total score of the quality scale was higher than that before treatment (P <0.01), and the treatment group was better than the control group (P <0.05), and the long-term curative effect was better in the treatment group. Conclusion TCM treatment of CHF is more effective than Western medicine alone. Tongyang Huoxue can significantly improve the quality of life of patients with CHF, long-term effect is good.