自拟温阳复脉汤治疗病态窦房结综合征的临床研究  

Clinical observation on treating sick sinus syndrome with the Wenyang Fumai decoction

作　　者：苏一飞 冯权贵 徐雄生 Su Yifei

机构地区：[1]高州市中医院

出　　处：《中医临床研究》2019年第16期84-86,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨分析自拟温阳复脉汤治疗病态窦房结综合征的临床效果。方法:选取2015年5月-2018年2月接受治疗的60例患者随机分组,主要分为对照组(口服阿托品进行治疗,30例),观察组(实施自拟温阳复脉汤进行治疗,30例),比较两组患者24 h平均心率、长于3 s的窦性停搏次数、并发症发生率以及临床治疗效果、食道心房调搏变化情况等情况。结果:观察组的24 h平均心率、长于3 s的窦性停搏次数与对照组进行比较,明显优于对照组,两组数据对比可知,存在明显的差异,具有统计学意义(P<0.05);观察组和对照组的并发症发生率分别为13.3%、26.7%,观察组优于对照组;观察组和对照组的治疗有效率分别为83.6%、73.3%,观察组优于对照组;观察组患者在窦房结恢复时间(Sinus Node Recovery Time,SNRT)、校正窦房结恢复时间(Corrected Sinus Node Recovery Time,CSNRT)、窦房传导时间(Sino-Atrial Conduction Time,SACT)上明显短于对照组,差异显著,具有统计学意义(P<0.05)。结论:自拟温阳复脉汤在治疗病态窦房结综合征中具有较好的治疗作用,不仅可以降低晕厥的发生,还可以进一步提高患者的生活质量,在临床上值得推广应用。Objective: To observe efficacy of the Wenyang Fumai decoction (温阳复脉汤) on sick sinus syndrome. Methods: 60 cases were divided into two groups. The control group took atropine. The observation group took the Wenyang Fumai decoction. Results: In the observation group, 24-hour average heart rat, number of sinus arrest more than 3 seconds were better(P<0.05). The complications was 13.3% in the observation group, and 26.7% in the control group. The total efficiency in the observation was 83.6%, better than 73.3% in the control group. SNRT, CSNRT, SACT were shorter than the control group(P<0.05). Conclusion: The Wenyang Fumai decoction (温阳复脉汤) on sick sinus syndrome was effective, can improve quality of life, is worthy of promotion.

关 键 词：自拟温阳复脉汤 病态窦房结综合征 临床研究 

分 类 号：R256.2[医药卫生—中医内科学]