补肾活血复方联合穴位敷贴对老年心肌梗死后慢性心力衰竭患者的临床效果分析

Clinical Effect Analysis of Kidney Tonifying and Blood Activating Compound Combined with Acupoint Application on Elderly Patients with Chronic Heart Failure after Myocardial Infarction

目的:探讨补肾活血复方联合穴位敷贴对老年心肌梗死后慢性心力衰竭患者的效果。方法:2021.1-2023.12收治的80例老年心肌梗死后慢性心力衰竭患者,分为观察组、对照组,各40例。对照组采取常规西医治疗,观察组在对照组基础上增加补肾活血复方联合穴位敷贴治疗。对比两组相关指标。结果:观察组总有效率高于对照组(P<0.05);治疗后观察组患者中医证候积分均低于对照组(P<0.05);治疗后两组患者LVEF、6MWT升高,LVESV、LVEDV降低,观察组与对照组比较有差异(P<0.05);治疗后观察组患者内分泌因子水平均低于对照组(P<0.05)。结论:补肾活血复方联合穴位敷贴可改善老年心肌梗死后慢性心力衰竭患者的临床疗效,减轻中医症状,改善心功能,提升运动耐力,且够降低神经内分泌因子水平,改善NT-proBNP表达水平。

Objective:To explore the effect of Bushen Huoxue compound combined with acupoint application on chronic heart failure patients after myocardial infarction.Methods:80 elderly patients with chronic heart failure after myocardial infarction were divided into observation group and control group,40 cases in each group.The control group was treated with conventional Western medicine,and the observation group was treated with bushen Huoxue compound combined with acupoint application on the basis of control group.Compare the two groups of relevant indicators.Results:The total effective rate of observation group was higher than that of control group(P<0.05).After treatment,TCM syndrome scores in observation group were lower than those in control group(P<0.05).After treatment,LVEF and 6MWT were increased,LVESV and LVEDV were decreased,and there were differences between observation group and control group(P<0.05).After treatment,the levels of endocrine factors in observation group were lower than those in control group(P<0.05).Conclusion:Bushenhuoxue compound combined with acupoint application can improve the clinical efficacy of elderly patients with chronic heart failure after myocardial infarction,alleviate the symptoms of traditional Chinese medicine,improve the heart function,enhance the exercise endurance,and can reduce the level of neuroendocrine factors and improve the expression level of NT-proBNP.