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目的:观察平脉饮治疗冠心病心力衰竭(DHF)的临床疗效。方法:对120例阳虚血瘀证冠心病稳定性心绞痛患者,采用简单随机化的方法按1∶1比例分为治疗组和对照组。对照组给予西医常规治疗,治疗组在常规治疗的基础上加服自拟中药方平脉饮(由生地、人参、丹参、五味子、麦冬、天冬等组成),共治疗6个月。进行心绞痛疗效、心电图疗效和主要症状疗效评定。结果:总有效率治疗组为86.66%,对照组为83.33%,两组比较,差异有显著性意义(P<0.05),治疗组优于对照组。两组治疗前后左心室舒张功能各项指标比较,差异有显著性(P<0.05或P<0.01);治疗后两组比较,差异有著性意义(P<0.01)。结论:平脉饮治疗冠心病DHF有确切疗效,能够改善DHF患者心功能,改善心脏超声有关左心室舒张功能指标,提高活动耐量,且无药物不良反应。
Objective: To observe the clinical effect of Pingmai Yin in the treatment of heart failure (DHF). Methods: A total of 120 cases of patients with stable angina pectoris of coronary heart disease were randomly divided into treatment group and control group according to the ratio of 1: 1. The control group was given routine treatment of Western medicine. The treatment group was given traditional Chinese medicine Fang Pingmai drink (composed of raw land, ginseng, salvia miltiorrhiza, Schisandra, Radix Ophiopogon japonicus and Asparagus) on the basis of routine treatment for a total of 6 months. Angina pectoris, ECG efficacy and evaluation of the main symptoms and effects. Results: The total effective rate was 86.66% in the treatment group and 83.33% in the control group. There was significant difference between the two groups (P <0.05). The treatment group was superior to the control group. Before and after treatment, the indexes of left ventricular diastolic function were significantly different (P <0.05 or P <0.01). There was significant difference between the two groups after treatment (P <0.01). Conclusion: Pingmai Yin has the correct curative effect in treating DHF of coronary heart disease. It can improve the cardiac function of DHF patients, improve the left ventricular diastolic function index and improve the activity of cardiac function without adverse drug reactions.