从痰瘀论治房颤40例疗效观察

Treatment of40cases of atrial fibrillation by phlegm and blood stasis

目的探讨从痰瘀论治房颤的疗效评估及对患者凝血类指标D-二聚体水平的影响。方法80例痰瘀型房颤患者随机分为对照组与治疗组，每组各40例。对照组采用单纯西医治疗的方法，以西医药物治疗为主；而中西医结合治疗组则是在西医治疗的基础上，根据房颤中医辨证分型加用中医治疗，以瓜蒌薤白半夏汤、黄连温胆汤、血府逐瘀汤等为主方加减治疗，比较2组疗效、凝血类指标（D-二聚体）。结果治疗组总有效率（97.5%）高于对照组（82.5%），差异有统计学意义（P＜0.05）。经治疗后，治疗组的患者D-二聚体水平明显低于对照组，2组比较差异有统计学意义（P＜0.05）。结论中西医结合治疗痰瘀型房颤患者效果确切，可降低患者D-二聚体水平。

Objective To evaluate the effect of phlegm and blood stasis on atrial fibrillation and the effect of D-dimer on coagulation index.Methods80patients with phlegm and blood stasis were randomly divided into control group and treatment group,40cases in each group.Thecontrol group using a simple Western medicine treatment methods to Western medicine treatment based;and integrated traditional Chinese andWestern medicine treatment group is based on Western medicine treatment,according to the traditional Chinese medicine syndrome,plus traditionalChinese medicine treatment,with Gualou Xiebai Banxia Decoction,Huanglian Wendan Decoction,Xuefu Zhuyu Decoction and other main plusor minus treatment,compared the two groups of efficacy,coagulation index(D-dimer).Results The total effective rate(97.5%)in the treatmentgroup was higher than that in the control group(82.5%),the difference was statistically significant(P<0.05).After treatment,the level of D dimerin the treatment group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Thecombination of traditional Chinese medicine and western medicine in the treatment of phlegm and blood stasis type is effective,and the level of D-dimer can be reduced.