真武汤加减对慢性心力衰竭患者心功能影响的临床研究

Clinical research on treating heart function from CHF with the Zhenwu decoction

目的:观察真武汤加减对慢性心力衰竭患者心功能的影响。方法:将心功能II、III级原发病为冠心病、扩张型心肌病的慢性心衰患者随机分为对照组与治疗组各30例,对照组:健康教育+西医规范治疗;治疗组:健康教育+真武汤加减药物+西医规范治疗,疗程为3个月,观察1个疗程后两组患者6min步行试验及射血分数(EF)改善情况。结果:治疗组6min步行试验及射血分数(EF)改善情况明显优于对照组(P<0.05)。结论:采用西医规范治疗基础上合用真武汤加减治疗的方法可以明显改善心肺气虚、心血瘀阻及心阳亏虚、痰瘀互阻慢性心力衰竭患者的心功能,且无明显不良反应,值得临床推广应用。

Objective： To observe effects of the Zhenwu decoction on cardiac function from chronic heart failure. Methods： 60 patients were randomly assigned to the control group and the treatment group, 30 patients in the control group： health education plus western medicine standard treatment; the treatment groups： health education plus the Zhenwu decoction and western medicine standard treatment. Results： The six-minute walk test and the ejection fraction show better improvement than the control group （P〈0.05）. The Zhenwu decoction plus western medicine treatment can improve heart and lung. Conclusion： The Zhenwu decoction is good for chronic heart failure, cardiac function, with no signiifcant adverse reaction, and was worthy of promotion.