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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。
Objective: To observe the clinical efficacy of Yiqi Yangyin Huoxue decoction in the treatment of chronic congestive heart failure. Methods: 56 cases diagnosed as chronic congestive heart failure, Chinese medicine diagnosis of heart failure, syndrome differentiation of qi and yin deficiency, blood stasis of the patients were randomly divided into treatment group and control group of 28 cases, both groups were given Western integrated Treatment, the treatment group also oral Yiyin nourishing Yin and activating blood soup, daily 1 dose, morning and evening service, taking 2 consecutive weeks. Results: After 2 weeks of treatment, the total effective rate of clinical symptoms in treatment group was 96.4% and the total effective rate of heart function classification was 89.3%. The total effective rate of clinical symptoms in control group was 89.3% and the total effective rate of heart function classification was 71.4%. After treatment, the improvement of clinical symptoms, heart function grading, distance of walking in 6min, brain natriuretic plateau and left ventricular ejection fraction in treatment group were better than those in control group (P <0.05). Conclusion: Yiqi Yangyin Huoxue Chinese medicine can significantly improve the clinical symptoms of patients with chronic deficiency of both qi and yin and blood stasis of chronic congestive heart failure.