世界中医药

目的:观察加味当归补血汤对慢性心力衰竭伴发贫血患者生活质量的影响。方法:选取我院72例慢性心力衰竭伴发贫血患者,随机分为对照组和治疗组,每组36例。对照组给予常规西药治疗,治疗组在常规治疗的同时联合应用加味当归补血汤,2组均治疗4周。观察2组患者治疗前后中医症状积分、血色素(Hb)、左心室射血分数(LVEF)、明尼苏达心功能不全生活质量量表(MLHFQ)积分。结果:2组治疗后,治疗组证候疗效总有效率为80.56%,对照组为55.56%,治疗组疗效优于对照组(P<0.05);治疗组与对照组比较,Hb显著升高、MLHFQ积分下降,差异有统计学意义(P<0.05)。结论:加味当归补血汤能纠正慢性心力衰竭患者的贫血、改善心功能,提高生活质量。

English Summary:

To observe the effect of Supplemented Angelica Blood-Tonifying Decoction on quality of life of patients with chronic heart failure combined with Anemia.Methods: Total 72 cases of chronic heart failure combined with anemia were randomized into treatment group (36 cases) and control group(36 cases). Treatment group was given Supplemented Angelica Blood-Tonifying Decoction on the basis of western medicine, control group was given western routine medicine, both groups were treated for 4 weeks. Before and after treatment, Chinese medicine symptom score, hemoglobin, LVEF, MLHFQ score were observed. Results: The total effective rate of symptom score of the treatment group and control group was 80.56% and 55.56% respectively, with significant difference between the two groups (P<0.05).The levels of Hb in both groups were improved after treatment, especially in the treatment group(P<0.05), the scores of MLHFQ in both groups decreased after treatment, especially in the treatment group(P<0.05).Conclusion: Supplemented Angelica Blood-Tonifying Decoction could correct anemia in chronic heart failure patients, as well as improve heart function and quality of life.

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