Clinical Study on Rehabilitation Exercise Combined with Foot Bath with Chinese Medicine for Chronic Heart Failure with Syndrome of Qi Deficiency with Blood Stasis
Abstract: Objective: To observe the clinical effect of rehabilitation exercise combined with foot bath with Chinese medicine for chronic heart failure with syndrome of qi deficiency with blood stasis. Methods:A total of 80 cases of patients with chronic heart failure with syndrome of qi deficiency with blood stasis were randomly divided into the control group and the observation group, 40 cases in each group. Both groups were given routine western medicine treatments, such as angiotensin converting enzyme inhibitor(ACEI) or angiotensin Ⅱ receptor blocker(ARB) drugs, β- blocker, diuretics, and digitalis preparation. The observation group was additionally given rehabilitation exercise combined with foot bath with Chinese medicine based on the treatment of the control group. Before treatment and after two-month treatment,cardiac functional grading, the level of B- type brain natriuretic peptide(BNP) in plasma, the heart function [left ventricular ejection fraction (LVEF), left ventricular end- diastolic diameter(LVEDD), and left ventricular end- systolic diameter(LVESD)], Chinese medicine syndrome scores,the score of Minnesota living with heart failure questionnaire(LHFQ) were observed in the two groups. After two- month treatment,the curative effect of cardiac functional grading and Chinese medicine syndrome was evaluated. Results:The total effective rate of the curative effect of cardiac functional grading was 90.00% in the observation group and 75.00% in the control group,and the total effective rate of the curative effect of Chinese medicine syndrome was 92.50% in the observation group and 77.50% in the control group,the difference being significant(P<0.05). After treatment, scores of BNP,LVEDD,LVESD,and LHFQ in the two groups were decreased when compared with those before treatment (P<0.05),and scores of LVEF were increased(P<0.05);the improvement of each index above in theobservation group was more significant than that in the control group(P<0.05). Conclusion:In the treatment of chronic heart failure with syndrome of qi deficiency with blood stasis,the therapy of rehabilitation exercise combined with foot bath with Chinese medicine can further improve the heart function and relieve clinical symptoms,as well as enhance quality of life.