芪苈强心胶囊治疗老年慢性充血性心力衰竭临床观察(1)
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[摘要] 目的：探讨芪苈强心胶囊治疗老年慢性充血性心力衰竭(CHF)的疗效。方法：将60例老年慢性充血性心力衰竭患者随机分为两组：对照组为常规治疗组；治疗组则在常规治疗基础上再加芪苈强心胶囊治疗1个月，治疗前、后分别进行LVEF和生活质量的评估，并比较两组利尿剂和洋地黄用量。结果：治疗前两组LVEF及生活质量比较，无统计学差异(P>0.05)，治疗后治疗组LVEF和生活质量较对照组改善明显，治疗组利尿剂和洋地黄用量减少(P<0.05)。结论：芪苈强心胶囊能明显提高老年CHF患者的LVEF及生活质量，减少利尿剂和洋地黄用量。
[关键词] 芪苈强心胶囊；心力衰竭；射血分数
[中图分类号] R541.61[文献标识码]B [文章编号]1673-7210(2010)10(a)-051-02
Clinical observation on Qili Qiangxin Capsules treatment old patients with chronic heart failure
ZHOU Yan, DING Jiachong
(Department of Cardiology, Mawangdui Hospital of Hu′nan Province, Changsha 410016, China)
[Abstract] Objective: To evaluate whether Qili Qiangxin Capsules can improve the exercise capacity and the quality of life in old patients with chronic heart failure (CHF). Methods: 60 patients with CHF was studied. Patients weredivided into two groups randomly. Thirty patients with CHF in control group were received regular treatments in a month. The other thirty patients with CHF in treating group were received Qili Qiangxin Capsules and regular treatments in a month. All patients were measured LVEF and the quality of life at before and after the treatment. The dosages with diuretic drug and digitalis were compared between the treating group and control group. Results: Before treating, LVEF and the quality of life weren't diffenrent between the treating group and control group. After treating, LVEF and the quality of life were increased in the treating group compared to the control group. The dosages with diuretic drug and digitalis were decreased in the treating group (P<0.05). Conclusion: It were treated by Qili Qiangxin Capsules that can improve LVEF, the quality of life of old patients with chronic heart failure (CHF) and decrease the dosages with diuretic and digitalis.
[Key words] Qili Qiangxin Capsules; Chronic heart failure; LVEF
老年人主要心血管疾病就是心力衰竭(HF)，一般而言，据国内外研究报道可知，20%的住院心力衰竭患者都是老年人，年龄在60周岁以上，虽然目前而言，对于老年人心力衰竭的治疗有了很大的改善，但其预后仍然很差，死亡率和致残率依然很高[1]。近年来，运用中医络病理论治疗慢性充血性心力衰竭(CHF)开辟了新的途径[2]。本研究应用芪苈强心胶囊治疗老年CHF患者，获得了满意的疗效。现报道如下： ......
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