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目的:观察以益气活血法治疗慢性心衰患者的临床效果。方法:将192例慢性心衰患者在西医常规治疗的基础上再加予益气活血法(强心通脉颗粒组成:人参、黄芪、红花、益母草、丹参、茯苓、葶苈子)。口服,每天3次,每次10g。1月后进行疗效统计。结果:心功能总有效率88.5%,慢性心衰总有效率82.3%,中医证候总有效率93.8%。呼吸困难、肺部啰音、浮肿、肝大、颈静脉充盈积分治疗前后比较,差异均有非常显著性意义(P<0.01)。治疗后心功能分级均有明显好转。结论:慢性心衰患者予以益气活血法进行治疗,安全有效,副作用少。
Objective: To observe the clinical effect of Yiqi Huoxue Therapy in patients with chronic heart failure. Methods: A total of 192 patients with chronic heart failure were treated with Yiqi Huoxue Therapy (Qixintongmai granule composition: ginseng, Astragalus, safflower, Motherwort, Salvia miltiorrhiza, Poria cocos) in addition to routine treatment of Western medicine. Oral, 3 times a day, each 10g. January after the efficacy statistics. Results: The total effective rate of heart function was 88.5%, the total effective rate of chronic heart failure was 82.3%, and the total effective rate of TCM syndrome was 93.8%. Dyspnea, pulmonary rales, edema, hepatomegaly, jugular vein filling points before and after treatment were significantly different (P <0.01). After treatment, heart function grading has been significantly improved. Conclusion: Patients with chronic heart failure should be treated with the method of supplementing qi and activating blood circulation, which is safe and effective with few side effects.