人参蛤蚧散改善心肺气虚型慢性心力衰竭患者预后的临床研究

The Clinical Reaearch of Ginseng Gecko San Improve the Prognosis of Patients with Chronic Heart Failure of Heart-Lung Qi Deficiency

目的:本研究是基于"心肺相关"理论,观察人参蛤蚧散加减改善心肺气虚型慢性心力衰竭患者预后的临床疗效。方法:选取2018年1月至2019年12月在我院住院及门诊符合诊断标准的患者60例,随机分为研究组和对照组,每组各30例。研究组予以人参蛤蚧散加减联合一般治疗及常规西药治疗,对照组予以一般治疗及常规西药治疗,比较两组治疗效果。结果:治疗12周后,研究组的明尼苏达心力衰竭生活质量积分和Lee心衰积分明显低于对照组,六分钟步行实验的步行距离明显高于对照组,各项中医症状、体征的改善明显优于对照组。结论:人参蛤蚧散对于改善心肺气虚型慢性心力衰竭患者预后有积极的临床意义。

Objective:This study is based on the theory of "heart lung correlation",to observe the clinical effect of ginseng Gejie powder on improving the prognosis of patients with heart lung qi deficiency type of chronic heart failure.Methods:from January 2018 to December 2019,60 patients who met the diagnostic criteria in our hospital were randomly divided into study group and control group,30 cases in each group.The study group was given ginseng Gejie powder combined with general treatment and conventional western medicine treatment,while the control group was given general treatment and conventional western medicine treatment.Results:after 12 weeks of treatment,Minnesota Heart Failure Quality of life score and Lee heart failure score of the study group were significantly lower than those of the control group,the walking distance of six minute walking test was significantly higher than that of the control group,and the improvement of TCM symptoms and signs was significantly better than that of the control group.Conclusion Ginseng Gejie powder has positive clinical significance in improving the prognosis of patients with chronic heart failure of heart lung qi deficiency type.