中药浴足辅助治疗气虚血瘀型慢性心力衰竭临床研究

Clinical Study on Treatment of Chronic Heart Failure with Qi-deficiency and Blood-stasis Syndrome by Foot-bath with Traditional Chinese Medicine

目的:探讨中药浴足疗法辅助治疗气虚血瘀型慢性心力衰竭的疗效。方法:将80例慢性心力衰竭患者按随机数字表分为对照组和试验组,对照组给予慢性心力衰竭患者护理常规,试验组在对照组的基础上给予中药浴足疗法。于干预前、干预4周后采用患者的6min步行距离、脑钠肽值、明尼苏达生存质量量表得分、心功能分级进行疗效评价。结果:试验组在实施干预后6min步行距离改善较对照组多,脑钠肽水平、生存质量评分下降较对照组明显,差异具有统计学意义;而心功能疗效分级试验组与对照组无明显差异。结论:中药浴足能促进气虚血瘀型慢性心力衰竭患者身体康复,改善其生存质量,值得临床推广。

Objective： To explore the therapeutic effect of foot bath therapy with traditional Chinese medicine on chronic heart failure with Qi deficiency and blood stasis. Methods： 80 patients with chronic heart failure were randomly divided into a control group and a test group. The control group was given care routine for patients with chronic heart failure, and the test group was given a foot bath treatment based on the control group. Before the intervention and after 4 weeks of intervention, the patient＇ s 6-minute walking distance, brain natriuretic peptide value, Minnesota qual- ity of life scale score, and cardiac functional grading were used to evaluate the efficacy. Results： Compared with the control group, the walking distance of the experimental group improved more than 6 minutes after the intervention. The decrease of brain natriuretic peptide and the quality of life score was more significant in the experimental group than in the control group. The difference was statistically significant. There was no significant difference between the heart function efficacy rating test group and the control group. Conclusion： Chinese herbal bath can promote the physical re-habilitation of patients with Qi deficiency and blood stasis type chronic heart failure, improve their quality of life, and is worthy of clinical promotion.