隆力福胶囊治疗冠心病合并慢性心力衰竭的临床疗效
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(福建中医药大学附属南平人民医院,福建 南平 353000)

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李鑫,男,主治医师,主要从事中西医结合心血管疾病临床工作。

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R 541

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Clinical Efficacy of Longlifu Capsule in the Treatment of Coronary Heart Disease Complicated with Chronic Heart Failure
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(Nanping People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fujian Nanping 353000)

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    摘要:

    〔摘 要〕 目的:探讨隆力福胶囊治疗冠心病合并慢性心力衰竭(CHF)的临床疗效。方法:选取福建中医药大学附属 南平人民医院 2019 年 7 月至 2020 年 7 月期间收治的 134 例冠心病合并 CHF 且辨证为气虚血瘀型患者,按随机数字表法 分为观察组(68 例)与对照组(66 例)。对照组给予规范的 CHF 及冠心病原发病治疗;观察组在对照组规范治疗的基础 上给予隆力福胶囊治疗。观察两组临床疗效、脑钠肽(BNP)、左心室射血分数(LVEF)、6 min 步行试验(6 MWT)和 明尼苏达心力衰竭生活质量调查表(MLHFQ)评分。结果:观察组患者中医证候疗效总有效率为 95.52 %,高于对照组的 90.91 %,差异具有统计学意义(P < 0.05);治疗后观察组患者的 BNP 低于对照组,6 MWT 高于对照组,差异具有统计 学意义(P < 0.05);治疗后观察组患者的 MLHFQ 评分低于对照组,差异具有统计学意义(P < 0.05);两组患者在治疗 过程中未见过敏反应及相关不适症状。结论:隆力福胶囊治疗气虚血瘀型冠心病合并 CHF,能明显改善 CHF 中医证候,提 高心功能,提高生活质量。

    Abstract:

    〔Abstract〕 Objective To investigate the clinical efficacy of Longlifu capsule in the treatment of coronary heart disease complicated with chronic heart failure. Methods 134 patients with coronary heart disease complicated with chronic heart failure and syndrome differentiation of qi deficiency and blood stasis in Nanping people's Hospital Affiliated to Fujian University of traditional Chinese medicine from July 2019 to July 2020 were randomly divided into observation group (68 cases) and control group (66 cases). The control group was given standard treatment of chronic heart failure and primary coronary heart disease; The observation group was treated with Longlifu Capsule on the basis of standard treatment in the control group. The clinical efficacy, brain natriuretic peptide (BNP), left ventricular ejection fraction (LVEF), 6-min walking test (6MWT) and Minnesota quality of life questionnaire for heart failure (mlhfq) were observed. Results the total effective rate of TCM symptoms in the observation group was 95.52%, higher than 84.85% in the control group (P < 0.05); After treatment, BNP in the observation group was lower than that in the control group, and 6MWT was higher than that in the control group, the difference was statistically significant (P < 0.05); After treatment, the mlhfq score of the observation group was lower than that of the control group (P < 0.05); There were no allergic reactions and related discomfort symptoms in the two groups during the treatment. Conclusion LongLiFu capsule can significantly improve the TCM symptoms of chronic heart failure, improve cardiac function and improve the quality of life.

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  • 收稿日期:2021-07-22
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  • 在线发布日期: 2021-12-02
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