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1、茂苗強心膠囊治療慢性收縮性心力衰竭42例臨床觀察作者：黃顯南，黃照河,譚志輝，潘征，潘興壽單位：533000廣西百色，右江民族醫(yī)學院附屬醫(yī)院心研所【摘要】目的觀察便苗強心膠囊聯(lián)合西藥治療中、重度慢性收縮性心力衰竭(CHF)的療效。方法將84例CHF患者隨機分為2組,對照組(42例)給予ACEI類、利尿劑、小劑量倍他斥克片(心功能IV級者心力衰竭控制后開始口服)、小劑量地高辛片等常規(guī)治療左心衰竭；觀察組(42例)在對照組治療基礎上加服罠茁強心膠囊(4粒，每日3次)，2周吋觀察比較2組治療效果。結杲
2、治療2周后，觀察組心功能改善總有效率、中供證候改善總有?效率、左室射血分數(shù)(LVEF)提高率分別為92.9%、95.2%、(25±4)%,而對照組則分別為76.2%、81.0%>(11±3)%,2組比較差異有統(tǒng)計學意義(P<0.05或PV0.01)。2組均未發(fā)現(xiàn)明顯不良反應。結論罠苗強心膠囊聯(lián)合曲藥治療中、重度CHF,可以更有效地改善心功能，緩解臨床癥狀，提高左室射血分數(shù)，且安全性好?！娟P鍵詞】罠苗強心膠囊；心力衰竭，收縮性，慢性Clinicalobservation
3、onthetherapeuticeffectofQiliqiangxincapsuleon42casesofchroniccontractiveheartfailureHUANGXiannan,HUANGZhaohe,TANZhihui,etal.HeartResearchInstituteofAffiliatedHospitalofYoujiangNationalityMedicalCollege,Guangxi,Baise533000,China【Abstract］ObjectiveToob
4、servethetherapeuticeffectofQiliqiangxincapsulecombinedwithwesternmedicineonmoderateandseverechroniccontractiveheartfailure(CHF).Methods42patientswithCHFincontrolgroupweretreatedwithACEI,uretica,smalldoseofbetablockertablet(Thepatientswithcardiacfunct
5、ionIVgradedidn'ttakeituntilheartfailurewascontrolled),smalldoseofdigoxin.The42patientsinobservationgroup,onthebasisofcontrolgroup,weretreatedbyQiliqiangxincapsule,fourpillsonce,threetimesaday.Thetherapeuticeffectswereobservedandcomparedaftertwoweektr
6、eatmentinthetwogroups.ResultsAftertwoweektreatment,thetotaleffectiverateofcardiacfunctionimprovement,totaleffectiverateofimprovementofTCMsymptomsandincreasingrateofleftventricleejectionfraction(LVEF)inobservationgroupwere92.9%,95.2%,(25±4)%res
7、pectively,butwhichincontrolgroupwere76.2%,81.0%,(l1±3)%respectively.Therewasasignificantdifferencebetweenthetwogroups(P<0.05orP<0.01).Thesideeffectswerenotfoundinbothgroups.ConclusionInthetreatmentofmoderateandseverechroniccontractiveheartfail
8、ure,Qiliqiangxincapsulecombinedwithwesternmedicine,couldimprovecardiacfunctioneffectively,alleviateclinicalsymptomsandincreaseLVEF,withsafety.【Keywords］Qiliqiangxincapsule;Heartfailure,contractive,chronic慢性收縮性心力衰竭(CHF)是內科常見的危重病、疑難病，是多種器質性心臟病的后期表現(xiàn)，也是器
