| Purpose：The warm yang and increase qi drinks decoction of coronaryheart disease caused by chronic heart failure (xinshen-yang deficiencysyndrome) of the clinical curative effect and the safety and discuss thecurative effect mechanism, and lay the foundation for the clinicalapplicationMaterial and method：1. Clinical Date: December,2010to December,2011period, from inDalian Chinese medicine hospital Heart Internal medicinedepartment’s in-patients, chooses conforms to the unstable anginapectoris painstaking care stasis anti-card diagnosis55-73year-oldpatient62examples to take the object of observation. Divides into thetreatment group completely stochastically (the n=32example) and thecontrol group (the n=30example).2. Drug Administration： Divides into the test group completelystochastically (the n=30example) and the control group (the n=30 example) treats the group to add in the conventional western medicinetreatment foundation with has the warm yang and increase qi effectwarm yang and increase qi drinks.(in courtyard preparation),1medicinal preparation, divides two clothing every day; The controlgroup gives the conventional western medicine treatment. Mergediabetes, hypertension and other diseases give the correspondingdoctor practicing western medicine to treat, two groups of treatmentcourses are14days. Simultaneously enjoins the patient to treat theperiod attention rest, the light diet, envies the tobacco and liquor.3. Observing Indexes：Observes two group of patients treat the periodheart rate, the blood pressure and so on ordinary circumstances, TCMsymptoms to improve the situation before and after treatment, changesin heart function, quality of life whether to raise and echocardiographyLVEF changes.4. Echocardiography shows the distribution of LVEF group, P <0.05, thedifference was statistically significant, the test group was better thanthe control group. 5.6minutes walk test analysis showed that the experimental groupimproved heart function was significantly better than the controlgroup.6. Minnesota Scale analysis, the improvement of the quality of life of theexperimental group than the control group.Results：1. TCM syndromes between the two groups effects P <0.01, thedifference was statistically significant, the experimental group than thecontrol group.2. The clinical heart function (NYHA functional class) effects betweenthe two groups (P <0.05) difference was statistically significant, theexperimental group than the control group.3. The efficacy of traditional Chinese medicine for individual symptomsanalysis showed that between the two groups after treatment, heartpalpitations, shortness of breath, chest tightness (pain), chills, facefloating limb swelling, fatigue, spontaneous sweating, shortness ofbreath, urine, cough, expectoration, dark complexion,comparison of the lips, bruising and other symptoms was statistically significant (P<0.01), the experimental group than the control group.4. Distribution between the two groups shown in the echocardiographyLVEF values, P <0.05, the difference was statistically significant, thetest group was better than5. The control group.6.6minutes walk test analysis showed that the improvement of cardiacfunction of the experimental group than the control group.7. Minnesota Scale, and the improvement of the quality of life of theexperimental group than the control group.Conclusion：The warm yang and increase qi drinks in the treatment ofcoronary heart disease caused by chronic heart failure (heart kidney Yangtype) clinical curative effect sure, which can effectively slow heart failuresymptoms, improving TCM syndrome, cardiac function, ejection fraction,quality of life, and has a good clinical curative effect, share and westernmedicine, supplement each other, and side effects of small, safe andreliable. |
