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目的:探讨中西医结合治疗老年慢性充血性心力衰竭(CHF)的临床疗效。方法:将符合诊断的64例本病患者根据随机数字表法分为两组,每组32例,对照组予常规西药治疗,治疗组在对照组治疗的基础上加服健脾养心汤。结果:治疗组总有效率为87.50%,对照组为68.75%,两组比较,差异有统计学意义(P<0.05);治疗组在6min步行试验、血浆BNP含量和血液流变学各指标的改善方面均优于对照组(P<0.05)。结论:健脾养心汤治疗老年CHF能提高运动耐量,改善血流指标,有确切疗效。
Objective: To explore the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of senile chronic congestive heart failure (CHF). Methods: According to the random number table method, 64 patients with this disease were divided into two groups according to the random number table method, 32 cases in each group. The control group was treated with conventional western medicine. The treatment group was given Jianpi Yangxin Decoction on the basis of the control group. Results: The total effective rate was 87.50% in the treatment group and 68.75% in the control group. There was significant difference between the two groups (P <0.05). In the 6-minute walk test, the plasma BNP level and hemorheology indexes Improve better than the control group (P <0.05). Conclusion: Spleen Yang Xin Tang treatment of elderly CHF can improve exercise tolerance, improve blood flow indicators, with the exact effect.