江汉大学学报(自然科学版) ›› 2017, Vol. 45 ›› Issue (6): 537-540.doi: 10.16389/j.cnki.cn42-1737/n.2017.06.010

• 中医药学 • 上一篇    下一篇

炙甘草汤加减治疗房性早搏的临床观察

雷杰1,2,郑琼莉?1   

  1. 1. 武汉市中西医结合医院 心血管内科,湖北 武汉 430022;2. 湖北中医药大学 第一临床学院,湖北 武汉 430061
  • 出版日期:2017-12-28 发布日期:2018-01-19
  • 通讯作者: 郑琼莉
  • 作者简介:雷杰(1991—),男,硕士生,研究方向:中西医结合治疗心血管疾病。

Clinical Observation on Treatment of Zhigancao Decoction on Atrial Premature Beat

LEI Jie1,2,ZHENG Qiongli?1   

  1. 1. Department of Cardiovascular Medicine,Wuhan Hospital of Traditional Chinese and Western Medicine,Wuhan 430022,Hubei,China;2. The First Clinical College,Hubei Unirersity of Chinese Medicine,Wuhan 430061,Hubei,China
  • Online:2017-12-28 Published:2018-01-19
  • Contact: ZHENG Qiongli

摘要: 目 的 观察炙甘草汤加减治疗房性早搏的临床疗效。方 法 将收治入院的80 例房性早搏住院病人随机分为中药组和西药组,各40例。中药组予以炙甘草汤加减辨证治疗,西药组予口服普罗帕酮片(0. 15 g/次, 每日3次)。连续治疗3周后对两组的临床疗效和房性早搏次数进行评价。结 果 中药组临床症状改善有效率为92. 5%,西药组临床症状改善有效率为75. 0%,两组间有效率比较差异有统计学意义( P < 0. 05);两组患 者服药治疗前后动态心电图房性早搏次数显著减少( P <0. 05),而且中药组较西药组降低明显( P < 0. 05)。结 论 炙甘草汤加减治疗房性早搏临床疗效显著。

关键词: 炙甘草汤, 房性早搏, 辨证治疗

Abstract: Objective To observe the clinical effect of Zhigancao Decoction on treatment of atrial premature beat. Methods 80 hospitalized patients(Jun. 2015 to Jun. 2016)with atrial premature beat were randomly divided into the traditional Chinese medicine group and the western medicine group with 40 cases in each. The Chinese medicine group was treated with Zhigancao Decoction on the base of syn? drome differentiation and treatment,the western medicine group received oral propafenone tablets(0.15g/ time,3 times a day). After 3 weeks of continuous treatment,the clinical efficacy and the number of atrial premature beats were evaluated in the two groups. Results The effective rate of clinical symptom improvement was 92. 5% in traditional Chinese medicine group and was 75. 0% in western medicine group.The difference between the two groups was statistically significant( P < 0. 05).The dynamic electrocardiogram showed the number of atrial premature beats decreased significantly( P < 0. 05)in the two groups after the treatment,and the number of the traditional Chinese medicine group was significantly lower than that of the western medicine group( P < 0. 05). Conclusion The curative effect of Zhigancao Decoction in the treatment of atrial premature beat is significantly.

Key words: Zhigancao Decoction, premature beat, syndrome differentiation and treatment

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