摘要
目的:观察芪苈强心胶囊联合西药治疗中、重度慢性充血性心力衰竭(CHF)的疗效及安全性。方法:将80例CHF患者随机分为两组,对照组给予ACEI类、利尿剂、小剂量地戈辛片和酒石酸美托洛尔片,治疗组在对照组治疗基础上加服芪苈强心胶囊(4粒/次,每日3次)、曲美他嗪片(20mg/次,每日3次),4周时比较两组治疗效果。结果:治疗组心功能改善率、总有效率、左室射血分数(LEVF)提高率分别为:97.5%、100%、(30±5)%,而对照组分别为87.5%、92.5%、(13±4)%,两组比较差异有统计学意义(P<0.05或P<0.01),治疗组生活质量改善优于对照组(P<0.01),两组均未发现明显不良反应。结论:芪苈强心胶囊合用曲美他嗪及其他西药治疗CHF具有明显疗效和良好的安全性。
Objective:To observe the therapeutic effect of Qiliqiangxin capsule combined with western medicine on moderate and severe chronic contrative heart faicure(CHF).Methods:40 patients with CHF in control group were treated with ACEI uretica small dose of beta-blocker tablet and digoxin .the 40 patients in treatment group on the basis of control group,were treated by Qiliqiangxin capsule four pills once three times a day and trimetazidine 20rag once three times a day, the therapeatic effects were observed and compared after four-weeks treatment in the two groups.Results:The total effective rate of cardiac function improvement,total effective rate of improvement of TCM symptoms and increasing rate of left ventricle ejection fraction (LVEF)in treatment group were 97.5%,100%,(30± 5)% respectively,but which in control group were 87.5%,92.5%,(15± 4)%,there was a significant difference between the two groups (P 〈0.05 or P 〈0.01),the side effects were not found in both groups.Conclusion:In the treatment of moderate and severe chronic contractive heart failure,Qiliqiangxin capsule combined with western medicine could improve cardiac function effectively,alleviate clinical symptoms and increase LVEF with safety.
出处
《实用中西医结合临床》
2008年第5期5-6,共2页
Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine