Clinical Study on Xinbi Tang Combined with Western Medicine for Chronic Heart Failure of Coronary Heart Disease with Qi-deficiency and Blood-stasis Syndrome
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摘要:
目的:观察心痹汤联合西药治疗冠心病慢性心力衰竭气虚血瘀证的临床疗效。方法:纳入100例冠心病慢性心力衰竭气虚血瘀证患者,使用随机数字表法分为中西治疗组、西药组,每组50例。2组均给予常规西药治疗,中西治疗组加用心痹汤治疗。2组疗程均为4周。比较2组的临床疗效,治疗前后进行6 min步行试验,检测左心射血分数(LVEF)。结果:治疗后,中西治疗组心力衰竭疗效显效率、总有效率均高于西药组(P<0.05),临床疗效总有效率高于西药组(P<0.05)。中西治疗组6 min 步行距离值及LVEF 值均高于治疗前,差异均有统计学意义(P<0.05);西药组2项指标值与治疗前比较均有所提高,但差异均无统计学意义(P>0.05)。中西治疗组6 min 步行距离值及LVEF 值均高于西药组,差异均有统计学意义(P<0.05)。结x论:心痹汤联合西药治疗冠心病慢性心力衰竭气虚血瘀证效果显著,可有效控制疾病的发展,提高患者的心功能与运动能力。
Abstract:
Abstract:Objective:To observe the clinical effect of Xinbi tang combined with western medicine for chronic heart failure of coronary heart disease with qi-deficiency,blood-stasis and water-retention syndrome. Methods:A total of 100 cases of patients with chronic heart failure of coronary heart disease with qi-deficiency and blood-stasis syndrome were divided into the Chinese and western medicine therapy group and the western medicine group according to the random number table method,50 cases in each group. Both groups were treated with routine western medicine,and the Chinese and western medicine therapy group was additionally treated with Xinbi tang. Both groups were treated for four weeks. The clinical effect in the two groups was compared, the six- minute walking test was conducted before and after treatment, and the left ventricular ejection fraction(LVEF) was detected. Results:After treatment,the obvious effective rate for heart failure and the total effective rate in the Chinese and western medicine therapy group were higher than those in the western medicine group (P<0.05). The total clinical effective rate in the Chinese and western medicine therapy group was higher than that in the western medicine group(P<0.05). The six- minute walking distance and the values of LVEF in the Chinese and western medicine therapy group were longer or higher than those before treatment,differences being significant(P<0.05);the two indexes in the western medicine group were improved when compared with those before treatment, but there was no significance in the differenceP>0.05);the two indexes in the Chinese and western medicine therapy group were higher than those in the western medicine group,differences being significant(P<0.05). Conclusion:The therapy of Xinbi tang combined with western medicine has significant effect in treating chronic heart failure of coronary heart disease with qi deficiency and blood stasis syndrome, which can effectively control the development of the disease and improve the heart function and sports ability of patients.