CAJ | 학술논문

目的：评价基于证候要素辨证论治慢性心力衰竭的疗效及对超声 LVEF 值、6 min 步行试验（6MWT）、患者生活质量的改善。方法：将55例慢性心衰患者随机分为试验组和对照组，对照组给予常规西药治疗，试验组在西药常规治疗基础上通过证候要素辨证给予相应的中药治疗。观察患者治疗前后的中医证候疗效、超声 LVEF 值、6 min 步行试验结果、慢性心衰生存质量量表总积分的变化。结果：试验组的有效率为66．67％，对照组为72％，差异无统计学意义（P ＞0．05）；2组超声 LVEF 值、6 min 步行试验、慢性心衰生存质量量表总积分较治疗前均有提高，差异有统计学意义（P ＜0．05），组间比较无统计学差异（P ＞0．05）。结论：以证候要素辨证论治慢性心衰可以改善中医症状，提高 LVEF 值及慢性心衰患者的生存质量，值得进一步研究。
목적：평개기우증후요소변증론치만성심력쇠갈적료효급대초성 LVEF 치、6 min 보행시험（6MWT）、환자생활질량적개선。방법：장55례만성심쇠환자수궤분위시험조화대조조，대조조급여상규서약치료，시험조재서약상규치료기출상통과증후요소변증급여상응적중약치료。관찰환자치료전후적중의증후료효、초성 LVEF 치、6 min 보행시험결과、만성심쇠생존질량량표총적분적변화。결과：시험조적유효솔위66．67％，대조조위72％，차이무통계학의의（P ＞0．05）；2조초성 LVEF 치、6 min 보행시험、만성심쇠생존질량량표총적분교치료전균유제고，차이유통계학의의（P ＜0．05），조간비교무통계학차이（P ＞0．05）。결론：이증후요소변증론치만성심쇠가이개선중의증상，제고 LVEF 치급만성심쇠환자적생존질량，치득진일보연구。
Objective:To observe the clinical efficacy of syndrome essence differentiation based treatment in chronic heart failure (CHF)and the improvement in LVEF value,6MWT and life quality of patients.Methods:Patients with chronic heart failure of 55 cases were randomly divided into two groups:treatment group and control group,both groups were given conventional western med-icine treatment while the treatment group were also given Chinese medicine treatment based on Chinese medicine syndrome essence differentiation.Then the Chinese medicine symptom(TCM),LVEF,6MWT and quality of life were observed.Results:Clinical total effective rate of the two groups were not significant different,for treatment group,it was 66.67% and control group 72% (P>0.05).LVEF,6MWT and the quality of life were promoted in each group with significant differences (P <0.05),but without statistic significances between two groups(P >0.05).Conclusion:It needs further study to figure out the treatment based on syn-drome differentiation in improving Chinese medicine symptoms,LVEF and the quality of life.