更年期心律失常应用甘麦大枣汤加减辅以普罗帕酮的效果评价

Evaluation on effect of Ganmai Dazao Decoction combined with Propafenone in the treatment of menopause arrhythmia

目的:探讨甘麦大枣汤加减辅以普罗帕酮治疗更年期心律失常的临床疗效。方法:选取我院更年期心律失常患者研究对象,采用对照研究,将患者随机分为观察组与对照组。对照组予口服普罗帕酮治疗,观察组则在对照组的基础上应用甘麦大枣汤,并随证加减。4周为一个疗程,治疗结束后,比较两组的治疗效果,探讨中西医结合治疗的临床应用价值。结果:观察组患者的显效率(63.33%)及总有效率(90.00%)明显高于对照组的显效率(36.67%)及总有效率(90.00%),差别有统计学意义(P<0.05);而治疗后,两组均得到不同程度的改善,且观察组的改善情况明显优于对照纽,差别有统计意义(P<0.05)。结论:甘麦大枣汤加减辅以普罗帕酮的中西医结合治疗方式对于更年期心律失常疗效显著,效果明显优于单纯西药治疗,值得进一步推广应用。

Objective ：To investigate the clinical efficacy of Ganmai Dazao decoction combined with propatenone m me treatment or menopause arrhythmia. Methods：Ninety cases of menopause arrhythmia in our hospital as the research objects were randomized into a observation group and a control group. The patients in the control group were taken oral propafenone, while the patients in the observation group were taken ingredient-altered Ganmai Dazao decoction according to personal situation on the basis of the therapy for the control group. Four weeks were a course. After the treatment, the therapeutic effects of the two groups were compared to explore the clinical value of integrative medicine. Results The significant effective rate （ 63.33% ） and total effective rate （ 90.00% ） of the observation group were significantly higher than those of the control group whose significant effective rate was 36.67% and total efficiency rate was 90.00% , the difference was statistically significant （P 〈0.05）; After treatment, both groups were improved to varying degrees. The improvement of the observation group was better than that of the control group,and the difference was statistically significant （P〈0.05）.Conclusion ：The therapy method of ingredient-altered Ganmai Dazao decoction combined with propafenone can make significant clinical efficacy which is better than western medicine alone and worthy of further promotion.