摘要
目的:探究对慢性心力衰竭患者实施苓桂术甘汤加味治疗的效果,为临床提供指导。方法:选取2015年1月-2017年12月本院收治的60例慢性心力衰竭患者。按照随机数字表法将其分为观察组(常规西医治疗+苓桂术甘汤加味治疗)和对照组(常规西医治疗),各30例。随访1年,比较两组疗效、心功能指标(LVEDD、LVESD、LVEF、CI、CO、SV)、生活质量评分、反复住院次数、平均每次住院时间、平均每次住院费用。结果:观察组总有效率为93.33%,高于对照组的73.33%(P<0.05);治疗后,观察组LVEDD、LVESD均小于对照组,LVEF、CI、CO、SV均高于对照组,比较差异均有统计学意义(P<0.05);观察组治疗后各项生活质量评分均高于对照组(P<0.05);观察组反复住院次数、平均每次住院时间、平均每次住院费用均少于对照组(P<0.05)。结论:对慢性心力衰竭患者实施苓桂术甘汤加味治疗十分可行,不仅有助于增强疗效,改善患者心功能及生活质量,还有助于减少住院次数及住院时间,对减轻患者家庭经济负担有较积极的影响。
Objective:To explore the effect of Lingguizhugan Decoction on patients with chronic heart failure.Method:A total of 60 patients with chronic heart failure in our hospital from January 2015 to December 2017 were selected.According to the random number table method,they were divided into observation group(conventional western medicine treatment+Lingguizhugan Decoction modified treatment)and control group(conventional western medicine treatment),30 cases in each group.The curative effect,cardiac function index(LVEDD,LVESD,LVEF,CI,CO,SV),quality of life score,repeated hospitalization times,average hospitalization time and average hospitalization cost between two groups were compared.Result:The total effective rate was 93.33% in observation group,which was higher than 73.33%in control group(P<0.05).After treatment,the LVEDD and LVESD in observation group were lower than those of control group,and the LVEF,CI,CO and SV in observation group were higher than those of control group,the differences were statistically significant(P<0.05).After treatment,the each score of quality of life in observation group were higher than those of control group(P<0.05).The number of repeated hospitalizations,average hospitalization time and average hospitalization expenses in observation group were less than those of control group(P<0.05).Conclusion:It is very feasible to treat patients with chronic heart failure with Lingguizhugan Decoction,which can not only enhance the curative effect,improve the heart function and quality of life,but also reduce the number of hospital stay and the length of hospitalization,it has a positive effect on reducing the economic burden of the patient's family.
引文
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