长针平刺内关结合口服参松养心胶囊治疗室性心律失常的临床研究

Clinical study of long needle stabbing nèiguān combined with oral Shensong Yangxin Capsules in the treatment of ventricular arrhythmias

目的探讨长针平刺内关结合口服参松养心胶囊治疗室性心律失常的效果。方法选取2019年9月—2020年9月于河北省三河市医院中医科就诊的90例室性心律失常患者为研究对象,按照随机数字表法将其分为治疗组(45例)和对照组(45例)。治疗组采用长针平刺内关结合口服参松养心胶囊治疗,对照组采用口服参松养心胶囊治疗。比较两组QRS时限、全部正常窦性心搏间期标准差(SDNN)、全程相邻窦性心搏间期之差的均方根(RMSSD)、每5分钟窦性心搏间期平均值的标准差(SDANN)和临床疗效。结果治疗后,治疗组QRS时限长于治疗前及对照组,差异有统计学意义(P<0.05)。治疗后,两组SDNN、RMSSD、SDANN均长于治疗前,且治疗组长于对照组,差异有统计学意义(P<0.05)。治疗组总有效率高于对照组,差异有统计学意义(P<0.05)。结论相比于单一的药物治疗,长针平刺内关结合口服参松养心胶囊治疗室性心律失常的效果更为明显,且方法更为多样,为临床室性心律失常的治疗提供新的选择方案。

Objective To investigate the effect of long needle stabbing nèiguān combined with oral Shensong Yangxin Capsules in the treatment of ventricular arrhythmia.Methods Ninety patients with ventricular arrhythmia treated in Department of Traditional Chinese Medicine in Sanhe Hospital of Hebei Province from September 2019 to September 2020 were selected as the research objects and divided into treatment group(45 cases)and control group(45 cases)according to random number table method.Treatment group was treated with long needle stabbing nèiguān combined with oral Shensong Yangxin Capsules,and control group was treated with oral Shensong Yangxin Capsules.QRS duration,standard deviation of all normal sinus intervals(SDNN),root mean square difference of adjacent sinus intervals(RMSSD),standard deviation of mean sinus intervals every five minutes(SDANN)and clinical efficacy were compared between two groups.Results After treatment,QRS duration of treatment group was longer than that before treatment and that of control group(P<0.05).After treatment,SDNN,RMSSD and SDANN of two groups were longer than those before treatment,and treatment group was longer than that of control group,the differences were statistically significant(P<0.05).Total effective rate of treatment group was higher than that of control group(P<0.05).Conclusion The effect of long needle stabbing nèiguān combined with oral Shensong Yangxin Capsules in the treatment of ventricular arrhythmia is more obvious than that of single drug treatment,and the method is more diverse,which provides a new choice for clinical treatment of ventricular arrhythmia.