Clinical Observation On Treatment Of Senile Chronic Heart Failure Disease With Heart-Spleen-Yang Deficiency Syndrome By Method Of Warming Yang And Drinking

Objective:To observe the improvement of the clinical symptoms and quality of life of the elderly patients with chronic heart failure of heart and spleen yang deficiency treated by wenyanghuayin,and the safety of the prescription,so as to provide some reference and theoretical support for the improvement of the quality of life of the elderly patients with chronic heart failure of heart and spleen yang deficiency in physiological and psychological dimensions.Method:Sixty-four patients from the inpatient ward the Geriatrics,Emergency,and Cardiology Department of Chengdu University of Traditional Chinese Medicine that met the diagnostic criteria for chronic heart failure in the elderly were randomly divided into treatment groups(plus and minus spleen drink combined with conventional western medicine)and control(Conventional Western medicine treatment),the course of treatment is 4 weeks,and records the patients‘ TCM syndrome score,cardiac color Doppler ultrasound,BNP,QOL-BREF,Minnesota heart failure quality of life scale,etc.before and after treatment.Changes to evaluate the efficacy of Wenyanghuayin.The patient‘s general vital signs and routine laboratory tests were monitored,and adverse reactions were recorded to evaluate the safety of the test.Result:1.In this study,both the treatment group and the control group can improve patients‘ TCM syndrome scores,cardiac color Doppler ultrasound,BNP and other indicators after treatment.Comparing the efficacy of the two groups after treatment,there is a significant difference between the experimental group and the control group as a whole(P <0.05),the clinical comparability is strong.2.In terms of quality of life,both groups can improve the physical,psychological,and environmental dimensions of the quality of life.The treatment group can significantly improve the physical and environmental dimensions.At the same time,the self-evaluation has improved significantly.Both groups cannot.Improve the patient‘s social relationship dimension and self-synthetic score,so the two groups can improve the quality of life to a certain extent;meanwhile,the treatment group has a clear advantage over the control group in improving the total score of the Minnesota scale.The differences between the two groups are clinically comparable.This shows that the use of Wenyanghuayin method has a certain effect on the quality of life of elderly patients with CHF to a certain extent.3.In this test,laboratory indexes such as blood routine,biochemical,and so on before and after treatment were within the normal range,and the safety evaluation of this test was Grade 1.Conclusion:The treatment of elderly patients with chronic heart failure of heart-spleen-yang deficiency type using Wenyanghuayin method to add or subtract real spleen drink on the basis of conventional western medicine treatment can alleviate their clinical symptoms,and improve the quality of life of patients in multiple dimensions such as physiological and psychological The patient had no serious adverse reactions and the safety performance was good.