益气复脉注射液治疗缺血性心肌病心力衰竭患者的疗效观察

摘要

目的：评价益气复脉注射液治疗缺血性心肌病心力衰竭患者临床疗效。方法将入选56例缺血性心肌病心力衰竭患者随机分为常规治疗组和应用益气复脉注射液组，益气复脉组在常规组治疗基础上给予静脉滴注益气复脉2.6g溶于5%葡萄糖液250mL，每天1次，连续应用2周。观察治疗前后NYHA心功能分级、NT-proBNP值、左室射血分数（LVEF）变化。结果治疗前后两组别患者临床主要症状体征均明显好转，治疗组胸闷、气短、活动耐力改善较对照组更明显。NYHA心功能分级比较：两组患者治疗后NYHA心功能分级均显著改善。结论常规西药治疗基础上加用中药益气复脉注射液，可显著改善缺血性心肌病心力衰竭患者的临床症状。%Objective To evaluate clinical effects of Yiqi Fumai Injection on heart failure patients with ischemic cardiomyopathy. Methods 56 patients were randomly divided into two groups: control group and Yiqi Fumai group. In Yiqi Fumai group,we gave corresponding treatment(5%GS250ml+Yiqi Fumai2.6g,per a day,for two weeks),the last treatment the same as control group. Then, we observed differences 0f two groups in NYHA, NT-proBN, LVEF. Result Before and after treatment in two groups of patients with clinical main symptoms and signs were improved in the treatment group of chest tightness, shortness of breath, activity tolerance improvement is better than the control group. NYHA classiifcation of cardiac function were compared between the two groups after treatment in patients with NYHA classiifcation of cardiac function was improved. Conclusion Our results suggest that Yiqi Fumai Injection can improve the clinical symptoms of heart failure patients with ischemic cardiomyopathy.