炙甘草汤治疗气阴两虚型冠心病心律失常60例的观察与分析

The observation and analysis of Zhigancao soup in 60 patients with arrhythmia of coronary artery disease due to qi-yin deficiency.

目的观察炙甘草汤治疗气阴两虚型冠心病心律失常的临床疗效观察,并观察心电图、24小时动态心电图、血流变学的变化.方法：选取90例气阴两虚型冠心病心律失常患者,随机分为治疗组及对照组,对照组给予常规西药治疗,治疗组在对照组基础上加炙甘草汤,连续治疗8周后,比较两组患者的临床症候、心电图、24小时动态心电图、血流变及安全等指标.结果：治疗组总有效率为93.33%,对照组为76.67%,两组有显著性差异（P 〈0.05）;治疗组在改善心律失常有效率为92.50%、对照组为82.50%,两组比较有显著性差异（P 〈0.05）;治疗组在改善血流变方面与对照组比较有较好的效果（P〈0.05）.结论：炙甘草汤加减能明显改善冠心病心律失常,减轻临床症状.

ObjectiveTo investigate the clinical effecacy of Zhigancao soup in patients with arrhythmia of coronary artery disease due to qi-yin deficiency by observing the changes of electrocardiograms （ECG）, 24-hour dynamic electrocardiogram（DCG） and hemorrheology.Methods：90 patients with arrhythmia of coronary artery disease due to qi-yin deficiency,were randomly divided into an treatment group and an control group, conventional medical therapy was given to the both groups and the treatment group received additional Zhigancao soup treatment.After 8 weeks treat,this study showed the assessments of clinical symptoms, electrocardiogram, 24-hour dynamic electrocardiogram, hemorrheology and safety indexes and so on.Results ：verall effect rate of the treatment group was 93.33%, and 76.6 of the control group. There was significant difference （P〈0.05） between the two groups.The effect rate in improving arrhythmia of the treatment group was 92.50%, and 82.5 of the control group. There was significant difference （P〈0.05） between the two groups. The effect of the treatment group in improving hemorrheology was better than the control group（P〈0.05）.Conclusion：Zhigancao soup can significantly improve arrhythmia,and alleviate the clinical symptoms.