Objective: To observe the effect of Guipi decoction combined with acupoint application on risk stratifica-tion in patients with premature ventricular contractions of heart and spleen deficiency type. Methods: A total of 74 patients with heart and spleen deficiency type premature ventricular contractions who met the inclusion criteria and were admit-ted to the inpatient or outpatient department of the Department of Cardiology, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine from January to October 2022 were selected as research subjects, and they were randomly divided into There were 37 cases in each treatment group and control group. The control group was given lifestyle inter-vention and modern medical standard anti-arrhythmic treatment, while the treatment group was given Guipi decoction and acupoint application on the basis of the treatment in the control group. The course of treatment was 8 weeks in both groups. The TCM syndrome scores and scores of the patients in the two groups were observed before and after treatment. Changes in efficacy, total number of premature ventricular contractions, Lown grade, premature ventricular contraction index, pre-mature ventricular vulnerability index, QRS-T wave complex morphology of premature ventricular contractions, and safety indicators. Results: After treatment, the total scores of TCM syndromes in both groups were significantly reduced, and the score reduction in the treatment group was better than that in the control group; the effective rate of TCM syndromes in the treatment group was significantly higher than that in the control group; the total number of premature ventricular con-tractions in 24 hours in both groups was lower than Before treatment; the Lown grade distribution of the treatment group was better than before treatment and better than that of the control group; the premature ventricular index of the treatment group improved significantly and was better than that of the control group; the premature ventricular vulnerability index of the treatment group improved significantly and was better than that of the control group; the treatment group The opti-mization of ventricular premature QRS-T wave complex morphology was better than that of the control group, and the dif-ferences were statistically significant. No obvious adverse reactions occurred in either group during the treatment period. Conclusion: Guipi decoction combined with acupoint application can effectively improve the traditional Chinese medicine syndrome in patients with premature ventricular contractions due to heart and spleen deficiency, improve efficacy, reduce risk stratification, and has good safety.
关键词
归脾汤/穴位贴敷/室性早搏/心脾两虚/危险分层/中医药
Key words
Guipi decoction/Acupoint application/Premature ventricular contractions/Heart and spleen deficiency/Risk stratification/Traditional Chinese medicine
维普
万方数据