中医延伸护理联合苦参复律汤治疗功能性早搏和心率变异性的临床效果  

Clinical effect of traditional Chinese medicine extended nursing combined with Kushenfulv Decoction in the treatment of functional premature beat and heart rate variability

作　　者：朱岩 陈民[1] ZHU Yan;CHEN Min(Department of Geriatrics,the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Liaoning Province,Shenyang100032,China)

机构地区：[1]辽宁中医药大学附属医院老年病科,辽宁沈阳110032

出　　处：《中国医药导报》2020年第25期160-163,共4页China Medical Herald

基　　金：国家重点研发计划项目(2017YFC1701205);辽宁省自然科学基金指导计划项目(201602508)。

摘　　要：目的探讨中医延伸护理联合苦参复律汤治疗功能性早搏和心率变异性的临床效果。方法选择2017年3月-2019年7月辽宁中医药大学附属医院诊断并治疗的功能性室性早搏患者122例,按照随机数字表法分为对照组(61例)和联合组(61例)。对照组采用中医延伸护理;联合组采用中医延伸护理联合苦参复律汤治疗,治疗4周为1个疗程。比较两组临床疗效,干预前后分别记录窦性心搏RR间期的标准差(SDNN)、SDNN指数(SDNN index)、相邻RR间期差值的均方根(RMSSD)、相邻R-R间期差值50 ms的百分数(PNN50)及低频(LF)、高频(HF)参数等。结果联合组有效率高于对照组(P<0.05)。干预后两组时域分析指标(SDNN、SDNN index、RMSSD、PNN50)较干预前升高(P<0.05),且联合组高于对照组(P<0.05)。干预后两组HF、LF较干预前升高,LF/HF较干预前降低(P<0.05),且联合组HF、LF高于对照组(P<0.05)。结论中医延伸护理联合苦参复律汤治疗功能性早搏的效果显著,可以改善心率变异性,降低发作频率,且安全性高。Objective To explore the clinical effect of traditional Chinese medicine extended nursing combined with Kushenfulv Decoction on functional premature beats and heart rate variability.Methods A total of 122 cases of functional ventricular premature beats diagnosed and treated in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from March 2017 to July 2019 were selected and they were divided into control group(61 cases)and combination group(61cases)according to the random number table method.The control group adopted traditional Chinese medicine extended nursing.The combination group was treated with traditional Chinese medicine extended nursing combined with Kushenfulv Decoction for one course of treatment for four weeks.The clinical efficacy of the two groups was compared.Standard deviation(SDNN),SDNN index(SDNN index),root mean square(RMSSD)of adjacent RR interval difference,percentage of adjacent R-R interval difference of 50 ms(PNN50),low frequency(LF)and high frequency(HF)parameters were recorded before and after intervention,respectively.Results The effective rate of the combination group was higher than that of the control group(P<0.05).Time domain analysis indexes(SDNN,SDNN index,RMSSD,PNN50)of the two groups were increased after intervention(P<0.05),and the combination group was higher than the control group(P<0.05).After intervention,HF and LF in the two groups were higher than those before intervention,and LF/HF was lower than that before intervention(P<0.05),HF and LF in the combination group were higher than those in the control group(P<0.05).Conclusion Traditional Chinese medicine extended nursing combined with Kushenfulv Decoction has obvious curative effect on functional premature beats,which can improve heart rate variability,reduce the frequency of attack,and has high safety.

关 键 词：中医延伸护理 苦参复律汤 功能性早搏 心率变异性 

分 类 号：R473.6[医药卫生—护理学]