首页|益气活血疗法联合常规西药治疗冠心病心律失常的效果

益气活血疗法联合常规西药治疗冠心病心律失常的效果

扫码查看
目的 观察益气活血疗法结合常规西药对改善冠心病心律失常患者的临床治疗效果研究。方法 选取124 例冠心病心律失常患者,按照随机数字表法将患者分为对照组和观察组,每组 62 例。对照组采用常规西药治疗,观察组采用益气活血疗法结合常规西药治疗,比较两组治疗前后的中医证候积分、心电图参数、血液流变学变化情况,并随访6 个月后心功能恢复情况。结果 治疗后,观察组的中医证候积分低于对照组,差异具有统计学意义(P<0。05);治疗 1、3、7 d后,观察组的心率变异值(HRV)均高于对照组(P<0。05);治疗 7d后,观察组全血高切黏度、全血低切黏度、红细胞压积(HCT)均小于对照组(P<0。05)。随访期间,观察组的左室射血分数(LVEF)高于对照组,左室舒张末期内径(LVDD)、B型钠尿肽(BNP)均小于对照组(P<0。05)。结论 益气活血疗法结合常规西药治疗可显著改善冠心病心律失常患者的临床症候,并促进心电参数、血液流变学及心功能恢复。
Effects of Yiqi Huoxue therapy and conventional Western medicine on patients with coronary heart disease and arrhythmia
Objective To observe the clinical therapeutic effect of Yiqi Huoxue therapy combined with conventional Western medicine on improving arrhythmia in patients with coronary heart disease.Methods 124 patients with arrhythmia of coronary heart disease were randomly divided into the control group(n=62,treated with conventional Western medicine)and the observation group(n=62,treated with Yiqi Huoxue therapy and conventional Western medicine).Results After treatment,the TCM symptom scores of the observation group were lower than those of the control group,showing a statistically significant difference(P<0.05).The HRV of the observation group after 1,3,and 7 d of treatment was higher than that of the control group(P<0.05).The high shear viscosity,low shear viscosity,and HCT of whole blood were lower than those of the control group(P<0.05).During the follow-up period,the left ventricular ejection fraction of the observation group was higher than that of the control group,while the left ventricular end diastolic diameter and B-type natriuretic peptide were lower than those of the control group(P<0.05).Conclusion Yiqi Huoxue therapy combined with conventional Western medicine can significantly improve the clinical symptoms of patients with coronary heart disease and arrhythmia,and promote the recovery of ECG parameters,hemorheology and cardiac function.

coronary heart disease with arrhythmiaYiqi Huoxue therapyECG parametershemorheologycardiac function

刘晓宁、王卫国、石云霄、班高亚、王国良、张海龙

展开 >

开封市中医院心病科,开封 475000

开封市中医院CCU病房,开封 475000

河南大学基础医学院免疫学教研室,开封 475000

冠心病心律失常 益气活血疗法 心电图参数 血液流变学 心功能

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(6)