加用益气活血化瘀法治疗肺源性心脏病发作期的疗效观察

Clinical Observation on Treating Pulmonary Heart Disease of Acute Stage with Therapy of Supplementing Qi and Activating Blood Circulation by Removing Blood Stasis and Routine Treatment

目的：观察加用益气活血化瘀法治疗肺源性心脏病（下简称“肺心病”）急性发作期的疗效。方法：选择５０例住院病人随机分为２组，治疗组３０例，除常规治疗（同对照组）外，均采用自拟益气活血化瘀汤与水蛭注射液联合治疗，对照组单纯西药治疗。结果：治疗组对临床症状的改善和总有效率均明显优于对照组（Ｐ＜００５），主要客观指标２组无显著性差异（Ｐ＞００５），白细胞总数和分类２组治疗前后有非常显著性差异（Ｐ＜０００１），组间比较，治疗组优于对照组（Ｐ＜００５），血液流变学指标治疗前后比较，治疗组有显著性差异（Ｐ＜００１）。

Purpose: To observe the clinical effect of treating pulmonary heart disease of acute stage with therapy of supplementing Qi and activating blood circulation by removing blood stasis besides routine treatment. Methods:Dividing 50 inpatients into two groups randomly. The 30 cases of the treating group were treated with “Yiqi Huoxue Huayu Decoction' and “Shuizhi Injection' besides routine treatment, while only routine treatment for control group. Results:The improvement of symptom and total response rate of the treating group were much better than those of the control group (P<005). There was no obvious difference between the two groups in objective index (P>005).There were significant differences in the total number of white blood cells and classification of leukocytes of the two groups before and after treatment (P<001) but those of the treating group were better than those of the control group (P<005). Comparing the indexes of the blood rheology of the treating group before and after treatment we found a significant difference (P<001). Conelusion: Treating pulmonary heart disease of acute stage with therapy of supplementing Qi and activating blood circulation by removing blood stasio besides routine treatment had good clinical effects.