首页|参松养心胶囊治疗老年冠心病室性早搏气阴两虚、心络瘀阻型患者临床观察

参松养心胶囊治疗老年冠心病室性早搏气阴两虚、心络瘀阻型患者临床观察

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目的:观察参松养心胶囊对老年冠心病室性早搏气阴两虚、心络瘀阻型患者临床疗效、动态心电图室性早搏次数及中医证候积分的影响.方法:选择老年冠心病室性早搏气阴两虚、心络瘀阻型患者60例,按照随机数字表法分为对照组和观察组,每组30例.对照组给予口服酒石酸美托洛尔,观察组在对照组基础上口服参松养心 胶囊.两组均连续治疗4周.观察两组治疗前后临床疗效,24 h动态心 电图室性早搏次数及中医证候积分.结果:对照组有效率[73.33%(22/30)]高于观察组[96.67%(29/30)](P<0.05).两组治疗后室性早搏次数均减少,观察组减少较对照组更明显(P<0.05).与治疗前比较,两组心悸、悸动不安、神疲乏力、气短、五心烦热等中医证候积分均下降(P<0.05),且治疗后观察组上述指标改善优于对照组(P<0.05).结论:参松养心胶囊能有效减少老年冠心病室性早搏患者的室性早搏次数,改善患者临床症状.
Clinical Observation of Shensong Yangxin Capsules in the Treatment of the Elderly with CHD-induced Premature Ventricular Contraction of Qi-yin Deficiency Pattern and Stagnation of Cardiac Collateral Pattern
Objective:To observe the influence of Shensong Yangxin capsules on clinical effects,the number of ventricular premature beats in dynamic ECG and TCM syndrome integrals in the elderly with coronary heart disease(CHD)-induced premature ventricular contraction of Qi-yin deficiency,stagnation of cardiac collateral pattern.Methods:All 60 patients were chosen,allocated to the control group and the observation group with 30 cases in each group according to random number table method.The control group orally took metoprolol tartrate,and the observation group accepted oral administration of Shensong Yangxin capsules based on the therapy the control group received.Both groups were treated for four weeks consecutively.To observe clinical effects before and after the treatment,the number of ventricular premature beats in 24h dynamic ECG and TCM syndrome integrals between both groups.Results:The effective rate of the observation group was[96.67%(29/30)],higher than[73.33%(22/30)]of the control group(P<0.05).After the treatment,the number of ventricular premature beats reduced in the two groups,the decrease of the observation group was more clear than that of the control group(P<0.05),Compared with before treatment,the integrals of TCM syndromes including palpitation,throbbing restlessness,fatigue,panting and sphoria with feverish sensation in chest,palms and soles were reduced in the two groups(P<0.05),and after the treatment,the improvements of these indexes of the observation group were superior to these of the control group(P<0.05).Conclusion:Shensong Yangxin capsules could effectively reduce the number of ventricular premature beats and improve clinical symptoms in the elderly patients suffering CHD-induced premature ventricular contraction.

coronary heart disease,senileShensong Yangxin capsulespremature ventricular contractionQi-yin deficiencystagnation of cardiac collateral pattern

刘雅琴、李淑玲、祁泉

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甘肃省中医院,甘肃 兰州 730050

兰州大学第一医院,甘肃 兰州 730030

冠心病,老年 参松养心胶囊 室性早搏 气阴两虚、心络瘀阻型

甘肃省自然科学基金甘肃省卫生行业科研计划项目

18JR3RA349GSWSKY2018-49

2024

西部中医药
甘肃中医药研究院

西部中医药

CSTPCD
影响因子:0.98
ISSN:1004-6852
年,卷(期):2024.37(4)
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