炙甘草汤加减疗法对冠心病气阴两虚型房性期前收缩的疗效影响研究  

Study on the efficacy of the treatment with modified Zhigancao Decoction on premature atrial contraction of coronary heart disease with Qi-yin deficiency syndrome

作　　者：陆静娟 LU Jing-juan(Jiangyin Lingang Hospital,Jiangyin 214443,China)

机构地区：[1]江阴临港医院,214443

出　　处：《中国实用医药》2021年第26期159-161,共3页China Practical Medicine

摘　　要：目的研究炙甘草汤加减疗法对冠心病气阴两虚型房性期前收缩的疗效影响。方法90例冠心病气阴两虚型房性期前收缩患者,采用随机分配的方式分为观察组和对照组,每组45例。对照组患者均采用常规性的西药治疗,观察组在西药治疗的基础上给予炙甘草汤加减疗法。比较两组患者治疗效果、治疗前后的中医症候积分、复发情况。结果观察组治疗总有效率97.78%高于对照组的82.22%,差异具有统计学意义(P<0.05)。观察组治疗前中医症候积分为(20.76±2.47)分,治疗后为(7.42±2.46)分;对照组治疗前的中医症候积分为(20.32±2.97)分,治疗后为(10.58±3.68)分。治疗前,两组患者中医证候积分比较,差异无统计学意义(P>0.05);治疗后,观察组中医症候积分低于对照组,差异具有统计学意义(P<0.05)。观察组复发率4.44%低于观察组的17.78%,差异均具有统计学意义(P<0.05)。结论采用炙甘草汤加减疗法对冠心病气阴两虚型房性期前收缩的患者进行治疗,其药效比较温和,安全性相对高,可以显著提高治疗的效果,复发率也相对低,值得推广运用。Objective To study the efficacy of the treatment with modified Zhigancao Decoction on premature atrial contraction of coronary heart disease with Qi-yin deficiency syndrome.Methods A total of 90 cases of premature atrial contraction of coronary heart disease with Qi-yin deficiency syndrome were randomly divided into observation group and control group,with 45 cases in each group.Patients in the control group were treated with conventional western medicine,and patients in the observation group were treated with modified Zhigancao Decoction on the basis of western medicine.Both groups of patients were compared in terms of therapeutic effect,traditional Chinese medicine symptom score before and after treatment,and recurrence.Results The total effective rate of treatment in the observation group was 97.78%,which was higher than 82.22%in the control group,and the difference was statistically significant(P<0.05).In the observation group,the traditional Chinese medicine syndrome score before treatment was(20.76±2.47)points,and after treatment it was(7.42±2.46)points;in the control group,the traditional Chinese medicine symptom score before treatment was(20.32±2.97)points,and after treatment it was(10.58±3.68)points.Before treatment,there was no statistically significant difference between the two groups of patients in terms of traditional Chinese medicine syndrome score(P>0.05).After treatment,the traditional Chinese medicine syndrome score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The recurrence rate of the observation group was 4.44%,which was lower than 17.78%of the observation group,and the difference was statistically significant(P<0.05).Conclusion Modified Zhigancao Decoction is relatively mild and safe in the treatment of premature atrial contraction of coronary heart disease patients with Qi-yin deficiency syndrome,and it can significantly improve the therapeutic effect and has a relatively low recurrence rate,which is worthy of

关 键 词：炙甘草汤 冠心病 气阴两虚 疗效 

分 类 号：R259[医药卫生—中西医结合]