CAJ | 학술논문

目的：探讨依那普利联合麝香保心丸治疗老年慢性心力衰竭（CHF）的临床疗效。方法93例CHF患者按随机数字表法分为对照组（45例）和治疗组（48例）。对照组给予常规抗心衰治疗药物，治疗组在对照组的基础上加用依那普利（5～20mg/d）和麝香保心丸（2粒/次，3次/d），分别于治疗前及治疗12周后比较两组患者的临床症状改善情况及疗效的总有效率。结果治疗12周后，治疗组临床症状改善情况及治疗的总有效率显著高于对照组，差异具有统计学意义（P＜0.05）。结论依那普利联合麝香保心丸可以显著提高老年CHF患者的生存率，明显降低缺氧、胸闷、气短等症状。
목적：탐토의나보리연합사향보심환치료노년만성심력쇠갈（CHF）적림상료효。방법93례CHF환자안수궤수자표법분위대조조（45례）화치료조（48례）。대조조급여상규항심쇠치료약물，치료조재대조조적기출상가용의나보리（5～20mg/d）화사향보심환（2립/차，3차/d），분별우치료전급치료12주후비교량조환자적림상증상개선정황급료효적총유효솔。결과치료12주후，치료조림상증상개선정황급치료적총유효솔현저고우대조조，차이구유통계학의의（P＜0.05）。결론의나보리연합사향보심환가이현저제고노년CHF환자적생존솔，명현강저결양、흉민、기단등증상。
Objective To explore the clinical efficacy of enalapril combined with Shexiangbaoxin pills on chronic heart failure(CHF). Methods 93 cases of CHF patients were randomly divided into control group (45 cases) and treatment group (48 cases).The control group were treated with normal medicine,while the treatment group were given enalapril (5-20mg/d) and Shexiangbaoxin pills (2 pills a time,tid.).Compare the clinical symptoms and efficacy before and after treatment. Results The clinical symptoms and efficacy of the treatment group ware all significantly higher than the control group(P<0.05) after 12 weeks. Conclusion The therapy of enalapril combined with Shexiangbaoxin pills on CHF can significantly improve clinical efficacy and reduce symptoms hypoxia,chest tightness,shortness of breath for elderly CHF patients.