益气养阴法对慢性心力衰竭急性加重期患者生命质量的改善作用.docVIP

益气养阴法对慢性心力衰竭急性加重期患者生命质量的改善作用 [摘要] 目的 观察益气养阴法对慢性心力衰竭急性加重期患者生命质量的影响。 方法 选取2012年6月～2014年6月于唐山市中医医院治疗的60例慢性心力衰竭急性加重期气阴两虚患者作为研究对象，并将其随机分为试验组与对照组，对照组予以常规西药治疗，试验组在常规西药治疗的基础上加用参麦注射液，疗程14 d。治疗14 d后比较两组心功能疗效、气阴两虚证候疗效、明尼苏达心力衰竭生命质量调查表评分、6 min步行距离。 结果 治疗14 d后，试验组心功能疗效、气阴两虚证候疗效均显著优于对照组，差异有统计学意义（P 0.045、0.042）；试验组明尼苏达心力衰竭生命质量调查表评分明显优于对照组，差异有高度统计学意义（P 0.001）；试验组6 min步行距离明显较对照组延长，差异有高度统计学意义（P 0.001）。 结论 在西医治疗基础上采用益气养阴法可明显提高慢性心力衰竭急性加重期患者生命质量，延长6 min步行距离。 [关键词] 慢性心力衰竭急性加重期；生命质量；明尼苏达心力衰竭生命质量调查表；6 min步行距离 [中图分类号] R541.61 [文献标识码] A [文章编号] 1673-7210（2015）08（a）-0113-04 Improving effect of supplementing qi and nourishing yin method for the quality of life in patients with chronic cardiac failure of acute exacerbation LI Lin DU Hongyao LIU Lizhuang DAI Yu SONG Yuzhen The Second Department of Cardiology， Tangshan Hospital of Traditional Chinese Medicine， Hebei Province， Tangshan 063000， China [Abstract] Objective To observe the effect of supplementing qi and nourishing yin method for the quality of life in patients with chronic cardiac failure of acute exacerbation. Methods Sixty patients with chronic cardiac failure of acute exacerbation of type of deficiency of both qi and yin treated in Tangshan Hospital of Traditional Chinese Medicine from June 2012 to June 2014 were selected as research objects， and they were divided into experimental group and control group， the control group was given conventional western medicine， on basis of conventional western medicine， the experimental group was added with Shenmai Injection， for 14 days. After treatment for 14 days， the cardiac function effect and syndrome effect of deficiency of both qi and yin， Minnesota living with heart failure questionnaire scores， 6 min walking distance of the two groups were compared. Results After treatment for 14 days， the cardiac function effect and syndrome effect of deficiency of both qi and yin of experimental group were better than those of control group， the differences were statistically significant （P 0.04