| ObjectiveProspective studies yiqi compound capsule of arteries and veins of diastolic heart failure in patients with clinical symptoms and TCM syndrome integral, total effective rate of treatment, and left ventricular mass index LVMI, the influence of left ventricular diastolic function indexes, to explore the traditional Chinese medicine qi and relieve patients with diastolic heart failure clinical manifestation, treatment effectiveness, improve the effectiveness of the ventricular remodeling and diastolic function.MethodsFrom September2011to May2013in shenzhen hospital cardiovascular division or ICU during hospitalization in patients with chronic heart failure,60cases of diastolic heart failure patients met the inclusion criteria, according to random number table method will be divided into a control group and observation group,30cases in each patient. Record each patient’s height (H) and weight (W), and the treatment before the left ventricular end-diastolic diameter (LVDd), interventricular septum thickness (IVST), left ventricular posterior wall thickness (PWT), ejection fraction (EF), early diastolic peak velocity E value, A late diastolic peak flow velocity and E/A, isovolumetric relaxation time (IVRT), symptom and syndrome score before treatment. Both set limit sodium, limit water, aerobic exercise, appropriate control group using diuretics, ACEI, beta blockers and conventional western medicine treatment, the treatment group was given conventional western medicine therapy plus yiqi compound vein capsule oral,4,2times a day at a time; Observation period is6months. Record each patient after treatment of LVDd, IVST, PWT, EF, E value, A value, E/A, IVRT syndrome score of symptoms, calculate the total effective rate, left ventricular mass index (LVMI), and finally by statistical analysis of data, clinical research conclusion.ResultsTreatment group after treatment chest tightness, shortness of breath, palpitations, fatigue, limb edema, oral cyanosis, dark red tongue was comparison were significantly improved, and the control group in addition to the dark red tongue, clinical symptoms improved are statistically significant, After treatment, the treatment group compared with the control group after treatment, chest tightness, shortness of breath, fatigue, oral cyanosis, dark red tongue was obvious improvement, statistically significant; Treatment group total effective rate was higher than the control group, P<0.05, the difference was statistically significant. Treatment group and control group after treatment compared with before each treatment, left ventricular mass index, ejection fraction, E value, E/A, IVRT were improved, Comparing of the two groups after treatment, left ventricular mass index, ejection fraction, E/A were significantly improved.ConclusionCombination treatment with conventional western medicine and Chinese medicine qi, compared to pure western medicine treatment, not only can obviously relieve the clinical symptoms syndrome, significantly improve the treatment efficiency, but also to inhibit ventricular remodeling in patients with diastolic heart failure, the improvement of ventricular diastolic function has a more positive significance. |
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