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目的:观察益气强心方治疗慢性心功能不全的临床疗效及患者生活质量的改善。方法:慢性心功能不全患者40例随机分为两组,对照组20例采用西医常规治疗,治疗组20例在西医常规治疗基础上加用益气强心方,疗程均为4周。观察治疗前后患者的总体疗效、心功能分级、心功能指标变化,及患者生活质量的改善情况。结果:患者的总体疗效、心功能分级、心功能指标与对照组比较有显著性差异(P<0.01或P<0.05);治疗组、对照组(除社会限制外)治疗前后生活质量(P<0.01或P<0.05)比较有显著性差异;且治疗后生活质量总分两组比较有显著性差异(P<0.01)。结论:益气强心汤对于慢性心功能不全患者有确切疗效,能够改善患者临床症状、心功能,提高患者的生活质量,疗效优于单纯西医常规治疗。
Objective: To observe the clinical curative effect of Yiqi Qiangxin Recipe on chronic heart failure and the improvement of patients’ quality of life. Methods: Forty patients with chronic cardiac insufficiency were randomly divided into two groups. In the control group, 20 cases were treated routinely with western medicine. Twenty cases in the treatment group were given Yiqiangqinfang on the basis of routine treatment of Western medicine. The course of treatment was 4 weeks. To observe the overall efficacy of patients before and after treatment, cardiac function classification, changes in cardiac function indicators, and improve the quality of life of patients. Results: The overall curative effect, heart function grading and cardiac function index of the patients were significantly different from those of the control group (P <0.01 or P <0.05). The quality of life before and after treatment in the treatment group and the control group (except social limitation) 0.01 or P <0.05). There was a significant difference between the two groups in the total quality of life after treatment (P <0.01). Conclusion: Yiqi Qiangxin Decoction has definite curative effect on patients with chronic heart failure, which can improve clinical symptoms and cardiac function and improve the quality of life of patients. The curative effect is better than that of conventional western medicine.