益气养阴祛痰利水法治疗慢性心力衰竭的疗效评价

Efficacy Evaluation of Supplementing Qi,Nourishing Yin,Eliminating Phlegm and Inducing Diuresis Method in Treatment of Chronic Heart Failure

目的:探讨益气养阴祛痰利水法治疗慢性心力衰竭的效果。方法:选取2020年1-12月首都医科大学附属北京中医医院收治的60例慢性心力衰竭患者作为研究对象,按随机数字表法分为试验组和对照组,各30例。试验组在对照组治疗基础上联合益气养阴祛痰利水法,对照组给予西医常规治疗。比较两组患者6 min步行试验(6MWT)、氨基末端脑钠肽前体(NT-proBNP)、心功能[左室射血分数(LVEF)]生活质量改善情况、中医症状积分和临床疗效。结果:治疗前,两组6MWT、NT-proBNP比较,差异无统计学意义(P>0.05);治疗后,试验组6MWT距离长于对照组,NT-proBNP水平低于对照组,差异有统计学差异(P<0.05)。治疗前,两组中医症状积分、LVEF水平、生活质量评分比较,差异无统计学意义(P>0.05);治疗后,试验组LVEF水平高于对照组,中医症状积分、生活质量评分低于对照组,差异有统计学意义(P<0.05)。试验组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论:益气养阴祛痰利水法慢性心力衰竭患者,能促进患者心功能恢复,对改善患者的运动耐力、生活质量、胸闷气短与咳嗽咯痰等典型症状均有重要意义,值得临床应用并予以推广。

Objective:To explore the effect of supplementing qi,nourishing yin,eliminating phlegm and inducing diuresis method in treatment of chronic heart failure.Methods:From January 2020 to December 2020,60 patients with chronic heart failure in the Cardiology Ward and Outpatient Department of Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University were selected as the study subjects.According to the random number table method,they were divided into the experimental group and control group,with 30 cases in each group.The experimental group was given routine treatment+supplementing qi,nourishing yin,eliminating phlegm and inducing diuresis method,and the control group was given routine treatment of western medicine.The 6 minute walk test(6MWT),N-terminal pro-brain natriuretic peptide(NT-proBNP),the improvement of cardiac function and quality of life,and clinical efficacy were compared between the two groups.Results:There was no statistically significant difference in 6MWT and NT-proBNP between the two groups before treatment(P>0.05).After treatment,the 6MWT distance in the experimental group was longer than that in the control group,and the NT-proBNP level in the experimental group was lower than that in the control group,with significant differences(P<0.05).There was no statistically significant difference in TCM symptom score,LVEF level and quality of life score between the two groups before treatment(P>0.05).After treatment,the LVEF level in the experimental group was higher than that in the control group,and the TCM symptom score and quality of life score in the experimental group were lower than those in the control group,with significant differences(P<0.05).The total effective rate in the experimental group was higher than that in the control group,with significant difference(P<0.05).Conclusion:The supplementing qi,nourishing yin,eliminating phlegm and inducing diuresis method in clinical treatment of chronic heart failure can promote the recovery of patients'cardiac function,and is of great significance to improve patients'exercise endurance,improve patients'quality of life,and promote the recovery of typical diseases such as chest tightness,shortness of breath,cough and expectoration,thus it is worth promoting and applying.