CAJ | 학술논문

目的：观察益气养阴法对慢性心力衰竭急性加重期患者生命质量的影响。方法选取2012年6月~2014年6月于唐山市中医医院治疗的60例慢性心力衰竭急性加重期气阴两虚患者作为研究对象，并将其随机分为试验组与对照组，对照组予以常规西药治疗，试验组在常规西药治疗的基础上加用参麦注射液，疗程14 d。治疗14 d后比较两组心功能疗效、气阴两虚证候疗效、明尼苏达心力衰竭生命质量调查表评分、6 min步行距离。结果治疗14 d后，试验组心功能疗效、气阴两虚证候疗效均显著优于对照组，差异有统计学意义(P=0.045、0.042)；试验组明尼苏达心力衰竭生命质量调查表评分明显优于对照组，差异有高度统计学意义(P=0.001)；试验组6 min步行距离明显较对照组延长，差异有高度统计学意义(P=0.001)。结论在西医治疗基础上采用益气养阴法可明显提高慢性心力衰竭急性加重期患者生命质量，延长6 min步行距离。
목적：관찰익기양음법대만성심력쇠갈급성가중기환자생명질량적영향。방법선취2012년6월~2014년6월우당산시중의의원치료적60례만성심력쇠갈급성가중기기음량허환자작위연구대상，병장기수궤분위시험조여대조조，대조조여이상규서약치료，시험조재상규서약치료적기출상가용삼맥주사액，료정14 d。치료14 d후비교량조심공능료효、기음량허증후료효、명니소체심력쇠갈생명질량조사표평분、6 min보행거리。결과치료14 d후，시험조심공능료효、기음량허증후료효균현저우우대조조，차이유통계학의의(P=0.045、0.042)；시험조명니소체심력쇠갈생명질량조사표평분명현우우대조조，차이유고도통계학의의(P=0.001)；시험조6 min보행거리명현교대조조연장，차이유고도통계학의의(P=0.001)。결론재서의치료기출상채용익기양음법가명현제고만성심력쇠갈급성가중기환자생명질량，연장6 min보행거리。
Objective To observe the effect of supplementing qi and nourishing yin method for the quality of life in patients with chronic cardiac failure of acute exacerbation. Methods Sixty patients with chronic cardiac failure of acute exacerbation of type of deficiency of both qi and yin treated in Tangshan Hospital of Traditional Chinese Medicine from June 2012 to June 2014 were selected as research objects, and they were divided into experimental group and control group, the control group was given conventional western medicine, on basis of conventional western medicine, the ex-perimental group was added with Shenmai Injection, for 14 days. After treatment for 14 days, the cardiac function effect and syndrome effect of deficiency of both qi and yin, Minnesota living with heart failure questionnaire scores, 6 min walking distance of the two groups were compared. Results After treatment for 14 days, the cardiac function effect and syndrome effect of deficiency of both qi and yin of experimental group were better than those of control group, the dif-ferences were statistically significant (P=0.045, 0.042);the scores of Minnesota living with heart failure questionnaire of experimental group were better than that of control group, the difference was statistically significant (P=0.001);the 6 min walking distance of experimental group was longer than that of control group, the difference was statistically sig-nificant (P = 0.001). Conclusion Supplementing qi and nourishing yin method on basis of conventional western medicine can significantly improve the quality of life of patients with chronic cardiac failure of acute exacerbation, lengthen 6 min walking distance.