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目的分析中西医结合治疗慢性心力衰竭(CHF)的疗效及对患者心功能的影响。方法将郑州市中医院心内科收治的74例CHF患者随机分为观察组和对照组,每组37例。对照组患者行西医常规治疗,观察组患者在西医常规治疗的基础上行温阳益气汤治疗。评价两组患者的临床治疗效果;并于两组患者治疗前后,检测患者的心功能指标,包括左心室射血分数(EF)、心排血量(CO)、每博量(SV)、舒张末期与舒张早期流速峰值比(A/E)。采用SPSS20.0统计软件,计量资料用均数±标准差(x±s)表示,采用t检验,计数资料用率(%)表示,采用χ~2检验,P<0.05为差异有统计学意义。结果在临床治疗总有效率上,观察组为89.19%,对照组为72.97%,差异有统计学意义(P<0.05);治疗后,观察组患者的EF、CO、SV、A/E指标值均高于对照组(P<0.05)。结论在常规西医治疗的基础上予以患者温阳益气汤治疗能有效提高慢性心力衰竭患者的临床治疗效果,提高患者心功能的改善效果,值得临床推广应用。
Objective To analyze the curative effect of traditional Chinese and western medicine on patients with chronic heart failure (CHF) and its influence on cardiac function. Methods Seventy-four CHF patients admitted to Department of Cardiology, Zhengzhou TCM Hospital were randomly divided into observation group and control group, with 37 cases in each group. Patients in the control group underwent conventional western medicine treatment. Patients in the observation group were treated with Wenyang Yiqi Decoction on the basis of routine treatment of Western medicine. The clinical efficacy of the two groups of patients was evaluated. Before and after treatment, the cardiac function indexes including left ventricular ejection fraction (EF), cardiac output (CO), per volume (SV), diastolic End-to-peak early diastolic flow velocity ratio (A / E). Using SPSS20.0 statistical software, the measurement data were expressed as mean ± standard deviation (x ± s), t test was used and the count data was used (%), using χ ~ 2 test, P <0.05 was considered statistically significant . Results The total effective rate of clinical treatment was 89.19% in the observation group and 72.97% in the control group, with statistical significance (P <0.05). After treatment, the indexes of EF, CO, SV and A / E in the observation group All higher than the control group (P <0.05). Conclusion On the basis of routine Western medical treatment, the patients treated with Wenyang Yiqi Decoction can effectively improve the clinical curative effect of patients with chronic heart failure and improve the cardiac function improvement effect of patients, which is worthy of clinical application.