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芪苈强心胶囊治疗老年收缩性心力衰竭的临床疗效观察

李争 钱玉红 周静 王敏 范志媛 张淋淋 梁凤兰 史俊玲

疑难病杂志Issue(9):895-897,909,4.
疑难病杂志Issue(9):895-897,909,4.DOI:10.3969/j.issn.1671-6450.2015.09.005

芪苈强心胶囊治疗老年收缩性心力衰竭的临床疗效观察

Observation of clinical effect of Qiliqiangxin capsule on elderly patients with systolic heart failure

李争 1钱玉红 2周静 1王敏 1范志媛 2张淋淋 1梁凤兰 1史俊玲1

作者信息

  • 1. 063000 河北联合大学附属唐山市中医医院心内科
  • 2. 300070天津医科大学研究生院
  • 折叠

摘要

Abstract

Objective To observe the therapeutic effect of Qiliqiangxin capsule in the treatment of senile congestive heart failure .Methods Selected 196 cases of age more than or equal 65 elderly patients with systolic heart failure , they were randomly divided to observation group (116 cases) and control group (80 cases).Control group was given conventional diu-retics, angiotensin angiotensin converting enzyme inhibitor (ACEI) or vascular angiotensin II receptor blocker (ARB), and beta blockers, digitalis and nitric acid ester drug treatment .The observation group also added Qiliqiangxin capsule treatment, at the beginning and after 8 weeks treatment , liver function , renal function , myocardial enzyme , clinical curative effect , 6 mi-nutes walking test (6MWT), left ventricular shoot ejection fraction (LVEF), left ventricular diastolic end diastolic diameter (LVEDD), serum N-terminal pro brain natriuretic peptide precursor (NT-proBNP) changes were detected.Results Obser-vation group’s total efficiency was superior to the conventional treatment group (92.2%vs.83.85,χ2 =6.852, P <0.05);2 groups’ LVEF, NT-proBNP were improved than before treatment ( t =4.431, t =51.213, t =6.132, t =71.663, P <0.05), observation group’s NT-proBNP levels were decreased more significantly than control group ( P <0.05).The hepatic function , renal function , myocardial enzymes in two groups before and after the treatment ’ s difference had no statistical signif-icance ( P >0.05).Conclusion Qiliqiangxin capsule effectively improves the clinical symptoms and heart function in eld-erly patients with systolic heart failure , no drug adverse events , worthy of clinical application .

关键词

芪苈强心胶囊/收缩性心力衰竭/脑钠肽/老年

Key words

Qiliqiangxin capsule/Congestive heart failure/Brain natriuretic peptide/Elderly

引用本文复制引用

李争,钱玉红,周静,王敏,范志媛,张淋淋,梁凤兰,史俊玲..芪苈强心胶囊治疗老年收缩性心力衰竭的临床疗效观察[J].疑难病杂志,2015,(9):895-897,909,4.

基金项目

河北省唐山市科技计划项目 ()

疑难病杂志

OACSTPCD

1671-6450

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