Abstract:
Objective To investigate the effects of Yiqi Dripping Pills combined with western medicine on hemodynamics, left ventricular filling pressure, serum cystatin(CysC), and B-type natriuretic peptide(BNP)in patients with chronic heart failure(CHF)in vulnerable period.
Methods Eighty-three patients with heart failure in the vulnerable period who were admitted to our hospital from February 2017 to April 2019 were randomly divided into observation group(
n=42)and control group(
n=41). The control group was treated with conventional western medicine, and the observation group was treated with QishenYiqi Dripping Pills on the basis of the control group. After 3 months of treatment, the total effective rate, TCM syndrome efficacy, and hemodynamics [pulmonary capillary wedge pressure(PCWP), mean pulmonary artery pressure(MPAP)and central venous pressure(CVP)], left ventricular function indicators [left ventricular ejection fraction(LVEF), ratio of early(E)and late(A)diastolic filling velocities(E/A)at the tip of mitral valve leaflets, the ratio of E to peak velocity of early diastolic wave of the lateral tricuspid annulus(Ea)(E/Ea)], levels of serum CysC as well as BNP and adverse reactions were compared.
Results After treatment, - the total clinical effective rate and TCM symptom effective rate of the observation group were significantly higher than those of the control group(97.62%, 95.24% vs. 82.93%, 80.49%, respectively,
P<0.05). After treatment, PCWP, MPAP, and CVP in both groups were decreased, and the observation group was better than the control group(
P<0.05). After treatment, E/A, and E/Ea were decreased in both groups, but LVEF was increased, and the observation group was better than the control group(
P<0.05). After treatment, the serum CysC and BNP levels of the two groups decreased, and the observation group was lower than the control group(
P<0.05). Within 3 months of treatment, the incidence of adverse reactions was 12.20% in the control group and 14.29% in the observation group, but no significant difference in the incidence of adverse reactions between the two groups was found(
P>0.05). The re-hospitalization rate in the observation group was lower than that in the control group(9.52% vs. 26.83%,
P<0.05). There was no significant difference in mortality rate between the two groups(2.38% in observation group and 4.88% in the control group,
P>0.05). Conclusions Qishen Yiqi Dripping Pills combined with western medicine can improve the hemodynamics, reduce the left ventricular filling pressure, and decrease serum CysC and BNP levels, so it is a safe and effective method for CHF patients in vulnerable period.