加味当归补血汤对慢性心力衰竭伴贫血患者生活质量的影响

Effect of Supplemented Angelica Blood-Tonifying Decoction on Quality of Life of Patients with Chronic Heart Failure Combined with Anemia

目的:观察加味当归补血汤对慢性心力衰竭伴发贫血患者生活质量的影响。方法:选取我院72例慢性心力衰竭伴发贫血患者,随机分为对照组和治疗组,每组36例。对照组给予常规西药治疗,治疗组在常规治疗的同时联合应用加味当归补血汤,2组均治疗4周。观察2组患者治疗前后中医症状积分、血色素(Hb)、左心室射血分数(LVEF)、明尼苏达心功能不全生活质量量表(MLHFQ)积分。结果:2组治疗后,治疗组证候疗效总有效率为80.56%,对照组为55.56%,治疗组疗效优于对照组(P<0.05);治疗组与对照组比较,Hb显著升高、MLHFQ积分下降,差异有统计学意义(P<0.05)。结论:加味当归补血汤能纠正慢性心力衰竭患者的贫血、改善心功能,提高生活质量。

Objective： To observe the effect of Supplemented Angelica Blood-Tonifying Decoction on quality of life of patients with chronic heart failure combined with Anemia. Methods： Total 72 cases of chronic heart failure combined with anemia were randomized into treatment group（ 36 cases） and control group（ 36 cases）. Treatment group was given Supplemented Angelica Blood-Tonifying Decoction on the basis of western medicine,control group was given western routine medicine,both groups were treated for 4weeks. Before and after treatment,Chinese medicine symptom score,hemoglobin,LVEF,MLHFQ score were observed. Results：The total effective rate of symptom score of the treatment group and control group was 80. 56% and 55. 56% respectively,with significant difference between the two groups（ P 〈0. 05）. The levels of Hb in both groups were improved after treatment,especially in the treatment group（ P〈 0. 05）,the scores of MLHFQ in both groups decreased after treatment,especially in the treatment group（ P 〈0. 05）. Conclusion： Supplemented Angelica Blood-Tonifying Decoction could correct anemia in chronic heart failure patients,as well as improve heart function and quality of life.