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目的探讨中西医结合与单纯西医治疗老年顽固性心力衰竭的不同疗效。方法将120例老年顽固性慢性充血性心力衰竭患者随机分为治疗组和对照组各60例。对照组采用常规西医综合治疗,治疗组在对照组治疗的基础上加中药汤剂加味苓桂术甘汤治疗,每日1剂,15 d为1疗程,2个疗程结束。结果治疗组显效34例,有效19例,无效6例,总有效88.10%,对照组显效29例,有,14例,无效17例,总有效率71.67%,治疗组在临床疗效,改善心功能,增加EF值均好于对照组,有统计学差异(P<0.01)。结论中医以温阳利水疗法,联合西医治疗老年顽固性充血性心力衰竭的疗效明显优于单纯西医治疗。
Objective To explore the different curative effects of combining traditional Chinese and western medicine with Western medicine in the treatment of elderly patients with refractory heart failure. Methods 120 elderly patients with refractory chronic congestive heart failure were randomly divided into treatment group and control group of 60 cases. The control group was treated with conventional western medicine. The treatment group was treated with the Chinese medicine decoction of Lingguizhugan decoction on the basis of the control group. One dose daily for 15 days was given for one course of treatment and two courses of treatment were completed. Results In the treatment group, 34 cases were markedly effective, 19 cases were effective, 6 cases were ineffective, and the total effective rate was 88.10%. In the control group, 29 cases were markedly effective, 14 cases were ineffective and 17 cases were ineffective. The total effective rate was 71.67% , Increased EF values were better than the control group, with statistical significance (P <0.01). Conclusion Chinese medicine to Wen Yang Li water therapy, combined with Western medicine treatment of elderly patients with refractory congestive heart failure was significantly better than Western medicine treatment alone.