Effect of Yiqi Tongluo Decoction Combined with Benazepril and Metoprolol on Elderly Patients with Hypertension Complicated with Chronic Heart Failure
Objective To analyze the effects of yiqi tongluo decoction combined with benazepril and metoprolol on elderly patients with hypertension complicated with chronic heart failure(CHF).Methods A total of 82 elderly patients with hypertension combined with CHF admitted to Yantai Harbor Hospital from November 2020 to September 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group was treated with benazepril and metoprolol,and the observation group was treated with yiqi tongluo decoction on the basis of the control group.The clinical efficacy,blood pressure changes,cardiac function and occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 95.12%,which was higher than 78.05%of the control group,the difference was statistically significant(P＜0.05).After treatment,the systolic blood pressure and diastolic blood pressure of the observation group were(137.25±6.35)mmHg and(80.35±5.29)mmHg,which were lower than(148.83±8.63)mmHg and(92.14±6.34)mmHg of the control group,left ventricular end-diastolic diameter was(35.73±3.57)mm,left ventricular end-systolic diameter was(41.34±4.75)mm,which were shorter than(45.21±4.13)mm,(48.20±6.21)mm of the control group,and left ventricular ejection fraction was(50.83±5.26)%,which was higher than(44.28±4.01)%of the control group,the differences between the two groups were statistically significant(P＜0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion Yiqi tongluo decoction combined with benazepril and metoprolol can reduce blood pressure and improve cardiac function in elderly patients with hypertension and CHF without serious adverse reactions.
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