小儿复脉汤联合揿针治疗儿童室性早搏的临床研究  

Clinical study of Xiaoer Fumai Decoction combined with thumbtack needle in the treatment of children's ventricular premature beat

作　　者：周冬雪 姜永红[1] 马金叶 ZHOU Dongxue;JIANG Yonghong;MA Jinye(Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《中华中医药杂志》2024年第8期4483-4487,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：上海市“十三五”临床重点专科-中医儿科(No.shslczdzk04102);上海中医药大学附属龙华医院2020年科技创新项目(No.KY2047);上海市三年行动计划[No.ZY(2021-2023)-0206-01]。

摘　　要：目的:观察小儿复脉汤联合揿针治疗儿童室性早搏的临床疗效。方法:将80例室性早搏患儿随机分为中药组和针药组,每组40例。中药组服用小儿复脉汤;针药组在中药组的基础上加以揿针双侧内关、心俞穴,24 h后取下,每周1次。两组均治疗3个月,比较两组患儿临床疗效及治疗前后24 h动态心电图和主次症积分。结果:中药组总有效率为62.50%(25/40),针药组总有效率为90.00%(36/40),针药组临床疗效显著优于中药组(P<0.01);两组治疗后室性早搏次数均较治疗前显著减少(P<0.01),且针药组优于中药组(P<0.01);针药组改善心悸、胸闷、气短、叹气主症的疗效显著优于中药组(P<0.01);两组在改善各项次要症状方面的疗效无显著性差异,但针药组在改善次要症状总积分方面优于中药组(P<0.05)。结论:小儿复脉汤联合揿针治疗儿童室性早搏具有良好疗效。Objective:To observe the clinical effect of the treatment combined Xiaoer Fumai Decoction with thumbtack needle on children's ventricular premature beat.Methods:Eighty children with ventricular premature beat were randomly divided into Chinese medicine group and acupuncture-medicine group,40 cases in each group.The Chinese medicine group was treated with Xiaoer Fumai Decoction while acupuncture-medicine group was treated with both Xiaoer Fumai Decoction and thumbtack needle on bilateral Neiguan(PC 6)and Xinshu(BL 15)for 24 h(once a week).Both groups were treated for 3 months.The clinical efficacy,24-hour dynamic electrocardiogram before and after treatment,and scores of main and secondary symptoms between two groups were compared between two groups.Results:The effective rate was 90.00%(36/40)in the acupuncture-medicine group while the Chinese medicine group was 62.50%(25/40),and the clinical effect of acupuncture-medicine group was better that Chinese medicine group(P<0.01).After the treatment,two groups'number of premature ventricular beats were significantly reduced compared with that before treatment(P<0.01),and which of the acupuncture-medicine group was better than the Chinese medicine group(P<0.01).The clinical efficacy of acupuncture-medication group was better than the traditional Chinese medicine group in improving main symptoms such as palpitations,chest tightness,shortness of breath,and sighs(P<0.01).There was no significant difference in the efficacy of two groups in improving each secondary symptom,but the acupuncture-medicine group was better than the traditional Chinese medicine group in improving the total score of secondary symptoms(P<0.05).Conclusion:The treatment of Xiaoer Fumai Decoction combined with thumbtack needle is clinically effective in treating premature ventricular beat in children.

关 键 词：小儿复脉汤 揿针 室性早搏 内关 心俞 儿童 徐氏儿科 

分 类 号：R272[医药卫生—中医儿科学]