益心活血化饮方治疗阳虚血瘀饮停型慢性心力衰竭55例  

55 Cases of Chronic Heart Failure with Type of Yang Deficiency and Blood Stasis Treatment with Yixin Huoxue Huayin Decoction

作　　者：戴飞[1] 陈丹[1] DAI Fei;CHEN Dan(The Afilliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China)

机构地区：[1]江西中医药大学附属医院,南昌330006

出　　处：《江西中医药大学学报》2020年第5期36-38,共3页Journal of Jiangxi University of Chinese Medicine

基　　金：江西省卫生计生委中医药科研课题(2015A152)。

摘　　要：目的:观察益心活血化饮方对慢性心力衰竭患者临床疗效及生活质量的影响。方法:将110例慢性心力衰竭患者随机分为观察组和对照组各55例。对照组采用心衰指南指导药物治疗,观察组采用心衰指南指导药物联合益心活血化饮方治疗。治疗2周后,观察比较LVEF、LVSd、LVDd、pro-BNP,明尼苏达心力衰竭生活质量评分及6分钟步行距离,临床疗效,中医证候积分。结果:观察组总有效率为89.09%,对照组总有效率为74.55%,两组比较,有统计学意义(P<0.05);两种治疗方案均能改善患者的心功能,且观察组效果更显著,与对照组比较,有统计学意义(P<0.05);两种治疗方案均能改善患者的中医证候积分、生活质量评分及6WMT距离,观察组优于对照组,两组比较有统计学意义(P<0.05)。结论:在规范应用心衰指南指导药物治疗的基础上,益心活血化饮方能进一步显著改善患者心功能、生活质量,进一步提高临床疗效。Objective:To observe the clinical effect of Yixin Huoxue Huayin decoction in the CHF with type of Yang deficiency and Blood stasis and Fluid retention.Methods:110 patients with CHF were divided into contral group and observation group with 55 cases in each group according to the random number table method.The clinical efficacy,LVDd,LVSd,LVEF,pro-BNP,MLHFQ,level of 6MWT and Chinese medicine syndrome were evaluated after 2 weeks.Results:After treatment,the total effective rate was 89.09%in the observation group,higher than that of 74.55%in the control group(P<0.05).Both groups were further improvement in the heart function,Chinese medicine syndrome,quality of life and 6MWT,and the efficacy of Yixin Huoxue Huayin decoction group higher than those in the control group(P<0.05).Conclusion:The therapy of Yixin Huoxue Huayin decoction has significant therapeutic effect in treating patients with CHF,which can effectively improve the heart function,quality of life and clinicalefficacy.

关 键 词：益心活血化饮方 阳虚血瘀饮停 慢性心力衰竭 生活质量 

分 类 号：R259[医药卫生—中西医结合]