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1、罠茄強心膠囊治療慢性收縮性心力衰竭臨床療效觀察(湖南省邵陽市第一人民醫(yī)院心血管內(nèi)科湖南邵陽422001)【摘要】目的:研究罠茁強心膠囊在慢性收縮性心力衰竭治療方面的臨床療效及安全性。方法:將我院2013年2月?2014年6月收治的符合心力衰竭研究標準的160例患者隨機分為罠苗強心膠囊治療組(80例)和常規(guī)心寶丸對照組(80例)。8周后進行超聲心動圖、中醫(yī)證候療效、心功能療效等指標療效觀察,并針對牛活質(zhì)量及不良反應等指標考究其安全性。結(jié)果:(1)心功能療效:對照組的總有效率為64.2%,治療組總有效率為73.9%,治療組療效明顯優(yōu)于對照組(PV0.05)。(2)中醫(yī)證
2、候療效:治療組顯效率和總有效率分別為54.8%和79.5%,對照組分別為37.5%和71.9%,治療組療效明顯優(yōu)于對照組(P<0.05)。(3)超聲心動圖指標:兩組LVEF、FS、SV和治療組CO治療后較治療前均升高(P<0.05或P<0?01),治療組LVEF優(yōu)于對照組(PV0.05)。(4)生活質(zhì)量:治療組對患者牛活質(zhì)量的改善顯著優(yōu)于對照組(P<0.01)o(5)安全性指標:兩組均未見異常變化及出現(xiàn)不良反應。結(jié)論:罠茁強心膠囊治療慢性收縮性心力衰竭療效不錯,H無明顯不良反應,安全性較高。【關鍵詞】心力衰竭;慢性收縮性;罠茁強心膠囊;療效;安全性
3、【中圖分類號】R573【文獻標識碼】A【文章編號】1004-6194(2015)02-0456-02【Abstract]Objective:tostudythestilbeneListrongheartcapsuleinthetreatmentofchronicsystolicheartfailureclinicalcurativeeffectandsafety.Methods:ourhospitalinFebruary2013-June2014wereuptothestandardofheartfailureinthe160patientswererandomly
4、dividedintostilbeneListrongheartcapsuletreatmentgroup(80cases)andnormalhearttreasurebolusofthecontrolgroup(80cases)?AftereightweeksofechocardiographyandcurativeeffectofTCMsyndromecurativeeffect,andcardiacfunctionindexofcurativeeffectobservation,andonthequalityoflifeandadversereactionsu
5、chasfastidiousitssafety.Results:(1)thecardiacfunctioneffect:inthecontrolgrouptotaleffectiveratewas64.2%,treatmentgrouptotaleffectiveratewas73.9%,thecurativeeffectoftreatmentgroupwasobviouslybetterthanthatofcontrolgroup(P<0.05).(2)syndromescurativeeffect:thetreatmentgroupsignificante
6、fficiencyandtotaleffectiveratewere54.8%and79.5%respectively,andthecontrolgroupwere37.5%and71.9%respectively,thecurativeeffectoftreatmentgroupwasobviouslybetterthanthatofcontrolgroup(P<0.05).(3)echocardiographyindex:twogroupsofLVEF,FS,SVCOaftertreatmentthanbeforetreatmentandtreatment
7、groupwerehigher(P<0.05orP<0.01),treatmentgroupLVEFisbetterthanthatofcontrolgroup(P<0.05).(4)thequalityoflife:thetreatmentgrouponpatientsqualityoflifeimprovedsignificantlybetterthanthatofcontrolgroup(P<0.01).(5)safetyindicators:therewerenoabnormalchangesinthetwogroupsandap