机构地区:[1]北京市西城区广内社区卫生服务中心,北京100053
出 处:《辽宁中医药大学学报》2016年第5期177-179,共3页Journal of Liaoning University of Traditional Chinese Medicine
基 金:北京市科技计划项目(D0906004040391)
摘 要:目的:分析桂枝甘草龙骨牡蛎加味汤对冠心病室性早搏的改善效果。方法:选取2014年1月—2015年2月我院接收并治疗的冠心病室性早搏患者98例,采用随机数表法进行分组,分为观察组和对照组,每组49例,两组患者均给予冠心病常规治疗,在此基础上对照组患者给予步长稳心颗粒治疗,观察组患者给予桂枝甘草龙骨牡蛎加味汤治疗,比较两组患者临床治疗效果,治疗前、后中医症候积分及心电图室性早搏总数变化差异。结果:观察组临床治疗效果总有效率85.72%,对照组临床治疗效果总有效率81.63%,差异无统计学意义(P>0.05)。治疗后,两组患者中医症候积分均降低,且观察组患者中医证症候积分为(20.17±3.48)分,低于对照组患者中医症候积分(24.39±3.26)分,差异有统计学意义(P<0.05)。治疗后两组患者心电图室性早搏总数与治疗前比较,明显降低(P<0.05);治疗后两组患者心电图室性早搏总数比较,差异无统计学意义(P>0.05)。观察组不良反应发生率8.16%,低于对照组不良反应发生率14.28%,差异无统计学意义(P>0.05)。结论:桂枝甘草龙骨牡蛎汤治疗冠心病室性早搏,能够显著缓解患者临床症状发生严重程度,降低中医症候积分,减少室性早搏发作次数,改善患者临床治疗效果,且不良反应轻微。Objective:To analyze the effect of Jiawei Guizhi Gancao Longgu Muli Decoction on ventricular premature coronary heart disease. Methods:During the period January 2014 to 2015 February in our hospital reception and treatment of coronary heart disease in patients with ventricular premature beats 98 cases,were divided into two groups by random number table method,divided into the observation group and the control group,with 49 cases in each group,two groups of patients were given conventional treatment of coronary heart disease,Buchangwenxin granules therapy is given based on in the control group,patients in observation group were given Jiawei Guizhi Gancao Longgu Muli Decoction treatment,compared two groups of patients with clinical curative effect,before treatment,after TCM syndrome integral and electrocardiogram room premature change in total differences. Results:The total effective rate was 85.72% in the observation group,and 81.63% in the control group,the difference was not statistically significant(P〉0.05). After treatment,the two groups of patients with TCM syndrome scores were reduced,and the observation group of patients with symptoms of TCM syndrome(20.17±3.48),lower than the control group(24.39 3.26),the difference was statistically significant(P〈0.05). After treatment,compared two groups of ECG in patients with ventricular premature beat and the total number of treatment,decreased significantly(P〈0.05);after treatment,two groups of electrocardiogram in patients with ventricular premature beat(VPB)total compared statistically significant(P〉0.05). The incidence of adverse reactions in the observation group was 8.16%,which was lower than that of the control group(P〉0.05). Conclusion:Jiawei Guizhi Gancao Longgu Muli Decoction in the treatment of coronary heart disease with ventricular premature beat,can significantly ease the severity in patients with clinical symptoms,reduce the TCM symptoms integral,decreased ventricular premature beat episodes,improve the
关 键 词:室性早搏 桂枝甘草龙骨牡蛎加味汤 中医症候 临床疗效
分 类 号:R541.4[医药卫生—心血管疾病]
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