强心汤治疗阳虚水泛型冠心病慢性心力衰竭临床观察

Observation on the Clinical Effect of Qiangxin Decoction in the Treatment of Chronic Heart Failure of Coronary Heart Disease with Water Overflowing Due to Yang Deficiency

目的分析阳虚水泛型冠心病慢性心力衰竭患者采用强心汤治疗的临床效果。方法回顾性分析收治的98例阳虚水泛型冠心病慢性心力衰竭患者临床资料(纳入时间:2017年9月—2019年9月),根据治疗方法将其分成2组,常规组(49例)患者采用鲁南欣康治疗,试验组(49例)患者采用强心汤联合鲁南欣康治疗,观察2组患者的临床治疗效果。结果试验组患者的治疗总有效率(93.88%)显著高于常规组(77.55%),差异明显(P<0.05);试验组患者的血浆心肌纤维化指标以及神经内分泌因子变化水平均显著优于常规组,差异明显(P<0.05)。结论强心汤联合鲁南欣康可以有效改善阳虚水泛型冠心病慢性心力衰竭患者临床症状,提高患者治疗效果。

Objective To analyze the clinical effect of Qiangxin decoction in the treatment of chronic heart failure of coronary heart disease with water overflowing due to yang deficiency.Methods The clinical data of 98 patients with chronic heart failure of coronary heart disease with water overflowing due to yang deficiency were analyzed retrospectively.According to the treatment,they were divided into two groups.The patients in the routine group(n=49) were treated with Isosorbide Mononitrate.The experimental group(n=49) was treated with Qiangxin decoction and Isosorbide Mononitrate.The clinical effect of the two groups was observed.Results The clinical effect of the two groups was obvious.The total effective rate of the experimental group(93.88%) was significantly higher than that of the conventional group(77.55%)(P<0.05).The level of plasma myocardial fibrosis index and neuroendocrine factor in the experimental group was higher than that in the conventional group(P<0.05).Conclusion Qiangxin decoction combined with Isosorbide Mononitrate can improve the clinical symptoms and the therapeutic effect of patients with chronic heart failure.