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目的观察芪红方结合康复治疗慢性心力衰竭临床疗效。方法将116例慢性心力衰竭患者随机分为芪红组(57例)和常规组(59例),常规组给予西医常规治疗结合康复运动方法,芪红组在西医常规治疗结合康复治疗上加用具有益气温阳的中药制剂芪红方。28 d为1个疗程,共观察3个疗程。结果治疗3个疗程后,2组间心力衰竭生活质量总评分变化差异有统计学意义(P<0.05)。治疗前后左室射血分数变化分布组间比较差异无统计学意义(P>0.05)。治疗前后6 min步行试验变化分布组间比较差别有统计学意义(P<0.05)。芪红组治疗前后中医证候疗效总有效率高于常规组,差异有统计学意义(P<0.05)。结论芪红方结合康复治疗能改善心衰患者的生活质量积分,提高患者实际生活能力和生活质量,能增加心衰患者6 min步行试验的距离,在心衰患者的体能恢复中显示出明显优势,是改善心衰患者活动能力的有效治疗方法。
Objective To observe the clinical effect of QIHONGFANG combined with rehabilitation on chronic heart failure. Methods One hundred and sixteen patients with chronic heart failure were randomly divided into QiDi group (57 cases) and routine group (59 cases). The routine group was given conventional Western medicine combined with rehabilitation exercise method. QiQhong group was treated with traditional Chinese medicine combined with rehabilitation Qi and Yang Qi Chinese medicine preparation Qi Fang side. 28 d for a course of treatment, a total of 3 courses observed. Results After 3 courses of treatment, there were significant differences in total quality of life scores of heart failure between the two groups (P <0.05). There was no significant difference in the distribution of left ventricular ejection fraction before and after treatment (P> 0.05). 6 min before and after treatment, the variation of walking test was statistically significant (P <0.05). The total effective rate of TCM syndrome before and after treatment in QHD group was higher than that in routine group (P <0.05). Conclusion QIHONGFANG combined with rehabilitation therapy can improve the QOL of patients with heart failure, improve the patients’ actual living ability and quality of life, and increase the distance of 6-minute walking test in patients with heart failure, which shows obvious advantages in the recovery of physical fitness of patients with heart failure , Is to improve the activity of patients with heart failure effective treatment.