中西医结合治疗老年稳定型心绞痛室性期前收缩疗效观察  

Clinical Observation of Therapy of Integrated Traditional Chinese and Western Medicine on Premature Ventricualr Contraction from Senile Stable Angina

作　　者：康善平[1] 彭绍杰[1] 

机构地区：[1]广西中医学院附属瑞康医院

出　　处：《山西中医》2012年第11期22-23,共2页Shanxi Journal of Traditional Chinese Medicine

摘　　要：目的:观察益气活血宁心汤联合美托洛尔治疗老年稳定型心绞痛室性期前收缩的疗效。方法:将60例患者随机分为治疗组和对照组各30例,治疗组予自拟益气活血宁心汤水煎服,每日1剂,同时予美托洛尔每次12.5～25 mg,每日2次口服。对照组予美托洛尔每次12.5～25 mg,每日2次口服,两组疗程均为4周。观察两组治疗前后症状、24 h动态心电图等变化。结果:治疗组和对照组症状缓解总有效率分别为96.7%和70.0%,两组差异皆有显著性(P<0.01);对室性早搏改善总有效率分别为96.7%和60.0%,两组差异皆有显著性(P<0.01)。结论:益气活血宁心汤联合美托洛尔治疗老年慢性稳定型心绞痛室性期前收缩有明显效果。Objective ： To observe the curative effect of Decoction of Yi - qi Huo - xue Ning - xin on premature ventricualr contraction from senile stable angina. Methods：60 cases were divided into two groups randomly of 30 ones in each group. Treatment group was treated with Decoction of Yi -qi Huo -xue Ning -xin, one dose per day. At the same time metoprolol was given to the group, 12. 5 -25mg each time and 2 times per day. Control group was treated with metoprolol, 12. 5 -25mg each time and 2 times per day. One treatment course included 4 weeks. The symptoms and 24h -dynamic -electrocardiogram were observed before and after treatment in the two groups. Results：About symptoms the total effective rate was 96. 7% in treatment group, and 70. 0% in control group. There was significant difference between the two groups （ P 〈 0. 01 ）. And on premature ventricualr contraction the total effective rate was 93.3% in treatment group, and 60. 0% in control group. There was significant difference between the two groups （P 〈 0. 01 ）. Conclusion ： Decoction of Yi - qi Huo - xue Ning - xin combined with metoprolol has good and remarkable effect on premature ventricualr contraction from senile stable angina.

关 键 词：稳定型心绞痛 室性期前收缩 美托洛尔 中西医结合疗法 

分 类 号：R541.4[医药卫生—心血管疾病]