南方地区心律失常病证特点与中医药防治的临床研究

Characteristics of arrhythmia symdrome in the south erea and clinical study on TCM prevention and treatment

目的:我国南方地区快速性心律失常的病证特点是痰、热、瘀、虚并见,而缓慢性心律失常的病证特点是虚、瘀、痰相兼,据此分别制定清热祛瘀化痰和温阳散瘀的治疗原则。方法:分别以中药复方定心汤与宁心汤治疗快速性心律失常261例、缓慢性心律失常22例,并与相应对照组比较。结果:以定心汤加味治疗快速性心律失常261例,总有效率96.55％,与对照组78.46％比较差异有显著性(P<0.01);以宁心汤治疗缓慢性心律失常22例,总有效率81.82％,与对照组47.62％比较差异有显著性(P<0.01)。结论:定心汤与宁心汤疗效均优于对照组,并能较好地改善临床症状。

Objective: The caracteristics of rapid arrhythmia in the south region of our country are simultaneous appearance of phlegm. heat, blood stasis and deficiency, and slow arrhythmia are intermingled deficiency. blood stasis and phlegm. Thus, they were treated respectively by clearing away heat, eliminating Yang and removing blood stasis, and warming Yang to remove blood stasis respectively. Results: The total effective rate was 96. 55% in 261 cases of rapid arrhythmia treated by modified Ding Xin Decoction, and 78. 46% in the control group with a significant difference between the two groups (P<0. 01). The total effective rate in 22 cases of slow arrhythmia treated by Ning Xin Decoction was 81. 82%, and in the control group was 47. 6 2 % with a significant difference between the two groups (P<0. 05). The Chinese drug has better therapeutic effects than those in the control group, and can better improve clinical symptoms.