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目的:观察中西医结合治疗慢性心力衰竭(CHF)的临床疗效和对左心射血分数(LVEF)的影响。方法:将72例CHF患者随机分为治疗组40例和对照组32例。对照组予西医常规治疗。治疗组在对照组治疗的基础上,加用宁脉强心颗粒,每天1剂,分2次口服治疗。2组均以4周为1疗程,治疗1疗程。比较2组的临床疗效和治疗前后左心射血分数(LVEF)的变化。结果:总有效率治疗组为92.50%,对照组为71.88%,2组比较,差异有显著性意义(P<0.05)。2组治疗后LVEF升高,与治疗前比较,治疗组差异有非常显著性意义(P<0.01),对照组差异有显著性意义(P<0.05)。2组治疗后比较,差异有显著性意义(P<0.05)。结论:中西医结合治疗CHF临床疗效肯定,并对LVEF的改善效果较好,值得进一步研究。
Objective: To observe the clinical efficacy of traditional Chinese and western medicine in treating chronic heart failure (CHF) and its effect on left ventricular ejection fraction (LVEF). Methods: Seventy-two CHF patients were randomly divided into treatment group (40 cases) and control group (32 cases). The control group was routinely treated with Western medicine. Treatment group in the control group based on the treatment, plus ningmaiqiangxin particles, 1 day, 2 times orally. 2 groups were 4 weeks for a course of treatment for 1 course of treatment. The clinical efficacy and the changes of left ventricular ejection fraction (LVEF) before and after treatment were compared between the two groups. Results: The total effective rate was 92.50% in the treatment group and 71.88% in the control group. There was significant difference between the two groups (P <0.05). LVEF increased in both groups after treatment, compared with before treatment, there was a significant difference in the treatment group (P <0.01). There was significant difference in the control group (P <0.05). There was significant difference between the two groups after treatment (P <0.05). Conclusion: The clinical curative effect of treating CHF with TCM and WM is affirmative, and the improving effect of LVEF is better, which deserves further study.