温阳通脉法治疗心律失常的临床观察

Clinical treatment of arrhythmia Wenyangtongmai

目的:观察温阳通脉中药宁心复脉汤治疗室性早搏性心律失常的临床疗效。方法:将符合纳入标准的120例患者按照随机数字表法分为治疗组(60例)和对照组(60例),2组患者均按照西医临床诊疗指南对心律失常进行常规治疗,研究组患者在加用温阳通脉中药功效的宁心复脉汤,2组患者均临床治疗4周,比较临床疗效。对照组采用心律平组常规治疗。结果:研究组治疗心律失常有效率高于对照组(P<0.05)。研究组在疗后中医证候积分优于对照组(P<0.05)。动态心电图室性早搏总数变化情况比较,显著优于对照组(P<0.05)。结论:温阳通脉法治疗室性早搏临床疗效确切。

Objective：The study is about the clinical effect of Ningxinfumai Tang （宁心复脉汤）in the treatment of arrhythmia in warming yang and invigorating pulse. Method ： This experiment used a randomized and contrasted method. 120 patients who were diagnosed with arrhythmia had been eligible for inclusion criteria. These patients were randomly divided into a control group and a treatment group. Each group had 60 cases. Control group：treated the arrhythmia patients using Western medicine. Treatment group：treated the arrhythmia patients using Western medicine and Ningx- infumai tisane at the same time. The treatment lasted four weeks. At the end, we compared clinical efficacy, liver and kidney function. The control group was treated the arrhythmia patients using propafenone. Result：The total effective rate of the treatment group was 93.33%, which was significantly higher than that of the control group 75%. The com- parison of clinical efficacy between treatment group and control group was P〈0.05. The TCM syndrome score in the treatment group was significantly better than the control group and there was statistically significant difference between them. The total number of ventricular premature beat in DECG was better than the control group, and there was statis- tically significant P〈0.05. Conclusion： The clinical curative effect was better in treating ventricular premature beat and atrial premature by using warming yang and invigorating nulse.