首页|定心汤辅助治疗冠心病室性期前收缩的作用机制及对临床症状的影响

定心汤辅助治疗冠心病室性期前收缩的作用机制及对临床症状的影响

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目的 探讨定心汤辅助治疗冠心病室性期前收缩的作用机制及对临床症状的影响。方法 选取 2019 年 3 月至2020 年 3 月洛阳市中医院收治的 90 例冠心病室性期前收缩患者,采用电脑随机分组法将其分为两组各 45 例,分别采用常规治疗及常规治疗+定心汤辅助治疗,记录两组中医症状评分、临床疗效、炎症因子水平、心功能指标及血气指标。结果 治疗前观察组的中医证候积分(28。37±1。64)分与对照组的(28。85±1。76)分比较,差异无统计学意义(P>0。05);治疗后观察组的中医证候积分[(8。92±3。57)分]低于对照组[(11。05±2。48)分],差异有统计学意义(P<0。05)。观察组治疗有效率[93。33%(42/45)]高于对照组[75。56%(34/45)],差异有统计学意义(P<0。05)。治疗前,两组炎症因子水平及心功能比较,差异无统计学意义(P>0。05);治疗后,两组TNF-α、CRP、PCT等炎性指标均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0。05)。治疗后,观察组治疗后心功能指标表现优于对照组,差异有统计学意义(P<0。05)。治疗后,观察组SaO2、pH、PaO2 及PaCO2 改善情况均优于对照组,差异有统计学意义(P<0。05)。结论 定心汤辅助治疗冠心病室性期前收缩能够有效改善患者的临床症状、血气指标,减轻炎症反应,心功能显著提高,临床疗效显著。
The Mechanism of Dingxin Decoction in the Adjuvant Treatment of Premature Ventricular Contraction of Coronary Heart Disease and its Effect on Clinical Symptoms
Objective To explore the mechanism of Dingxin Decoction in the treatment of ventricular premature beats of coronary heart disease and its effect on clinical symptoms.Methods A total of 90 patients with ventricular premature contraction of coronary heart disease admitted to Luoyang Hospital of Traditional Chinese Medicine from March 2019 to March 2020 were selected and divided into two groups by computer randomization method,with 45 cases in each group,conventional treatment,and conventional treatment plus Dingxin Decoction were used respectively.Traditional Chinese medicine symptom score,clinical efficacy,inflammatory factor level,heart function index,and blood gas index of the two groups were recorded.Results Before treatment,there was no significant difference in TCM syndrome score between the observation group and the control group(28.37±1.64)(P>0.05).After treatment,the TCM syndrome score of the observation group[(8.92±3.57)points]was lower than that of the control group[(11.05±2.48)points],and the difference was statistically significant(P<0.05).The effective rate of the observation group[93.33%(42/45)]was higher than that of the control group[75.56%(34/45)],and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the levels of inflammatory factors and cardiac function between the two groups(P>0.05).After treatment,TNF-α,CRP,PCT,and other inflammatory indicators in the two groups were lower than before treatment,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).After treatment,the performance of cardiac function indexes in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).After treatment,the improvement of SaO2,pH,PaO2,and PaCO2 in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Dingxin Decoction can effectively improve the clinical symptoms and blood gas indexes of patients with coronary heart disease with ventricular presystole,reduce inflammation,significantly improve cardiac function,and have significant clinical efficacy.

Dingxin Decoctioncoronary heart diseaseventricular precontractionheart functioninflammatory response

孙海涛、王银娜、王云振、王二放、孙艳玲

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洛阳市中医院 心内科,河南 洛阳 471000

定心汤 冠心病 室性期前收缩 心功能 炎症反应

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(1)
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