Clinical observation on Qidong Yixin decoction in treating heart failure of qi yin deficiency type
芪冬益心汤治疗气阴两虚型心力衰竭的临床观察

摘要

目的 对芪冬益心汤治疗气阴两虚型心力衰竭的临床效果进行观察分析。方法 将宁夏医科大学附属中医医院2021年5月至2022年5月收治的气阴两虚型心力衰竭患者80例为研究对象，随机均分为两组，对照组采用常规抗心力衰竭治疗，观察组加用芪冬益心汤治疗，对比两组治疗效果。结果 治疗后，两组患者症状积分都有不同程度的降低，生活质量评分出现了一定的提升，且观察组改善幅度明显更大（P<0.05）；与治疗前比，治疗后两组患者LVEF都不同程度上升，LVEDD、LVESD、BNP都明显降低，且观察组改变幅度明显更大，差异有统计学意义（P<0.05）。结论 在气阴两虚型心力衰竭治疗过程中采用芪冬益心汤治疗临床效果显著，可以有效改善患者临床症状与心功能，同时提升患者生活质量，降低患者再住院风险，临床应用价值较高。

Abstract

Objective To observe and analyze the clinical efficacy of Qidong Yixin decoction in treating heart failure with Qi Yin deficiency type.
Methods Eighty patients with Qi and Yin and deficiency heart failure admitted to the Affiliated Hospital of Traditional Chinese Medicine of Ningxia Medical University from May 2021 to May 2022 were randomly divided into two groups. The control group was treated with conventional anti-cardiac failure, and the observation group was treated with Qidong Yixin soup to compare the treatment effect of the two groups.
Results After treatment, the symptom score of both groups decreased to different degrees, the quality of life score was improved, and the observation group improved significantly better (P<0.05); Compared with before treatment, LVEF of the two groups increased to different degrees, LVEDD, LVESD, BNP were significantly decreased, and the observation group changed significantly more (P<0.05).
Conclusion   In the treatment of Qi and Yin deficiency heart failure, it can effectively improve the clinical symptoms and cardiac function of patients, improve the quality of life, reduce the risk of rehospitalization, with high clinical application value.