首页|稳心颗粒联合硝酸甘油治疗心房颤动患者的效果

稳心颗粒联合硝酸甘油治疗心房颤动患者的效果

扫码查看
目的:观察稳心颗粒联合硝酸甘油治疗心房颤动患者的效果.方法:选取 2019 年 1 月至 2021 年 9 月该院收治的 72 例心房颤动患者进行前瞻性研究,依据双色球法将其分为对照组和观察组各 36 例.对照组采用硝酸甘油治疗,观察组在对照组基础上联合稳心颗粒治疗,比较两组临床疗效,治疗前后心房颤动发作次数、心房颤动发作持续时间、心率、中医证候积分、心功能指标[P波离散度(Pd)、左心室射血分数(LVEF)和左心房内径(LAD)]水平和血清学指标[N末端脑钠肽前体(NT-proBNP)、超敏C反应蛋白(hs-CRP)]水平.结果:观察组治疗总有效率为 97.22%(35/36),高于对照组的 77.78%(28/36),差异有统计学意义(P<0.05);治疗后,观察组心房颤动发作持续时间短于对照组,心房颤动发作次数少于对照组,心率低于对照组,差异均有统计学意义(P<0.05);观察组心悸、头晕乏力、胸闷等中医证候积分均低于对照组,差异有统计学意义(P<0.05);观察组LVEF水平高于对照组,LAD、Pd水平均低于对照组,差异有统计学意义(P<0.05);观察组NT-proBNP、hs-CRP水平均低于对照组,差异有统计学意义(P<0.05).结论:稳心颗粒联合硝酸甘油治疗心房颤动患者可提高治疗总有效率,缩短心房颤动发作持续时间,减少心房颤动发作次数,改善心功能指标水平,降低心率、中医证候积分和血清学指标水平,效果优于单纯硝酸甘油治疗.
Effects of Wenxin granules combined with Nitroglycerin in treatment of patients with atrial fibrillation
Objective:To observe effects of Wenxin granules combined with Nitroglycerin in treatment of patients with atrial fibrillation.Methods:A prospective study was conducted on 72 patients with atrial fibrillation admitted to the hospital from January 2019 to September 2021.They were divided into control group and observation group according to the two-color ball method,36 cases in each.The control group was treated with Nitroglycerin,while the observation group was treated with Wenxin granules on the basis of that of the control group.The clinical efficacy,the frequency of atrial fibrillation,the duration of atrial fibrillation,the heart rate,the TCM syndrome score,the cardiac function indexes[P wave dispersion(Pd),left ventricular ejection fraction(LVEF)and left atrial diameter(LAD)]levels,and the serological indexes[N-terminal pro-brain natriuretic peptide(NT-proBNP),high-sensitivity C-reactive protein(hs-CRP)]levels were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 97.22%(35/36),which was higher than 77.78%(28/36)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the duration of atrial fibrillation in the observation group was shorter than that in the control group,the frequency was less than that in the control group,the heart rate was lower than that in the control group,and the differences were statistically significant(P<0.05).The scores of TCM syndromes such as palpitation,dizziness,fatigue and chest tightness in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The LVEF level of the observation group was higher than that of the control group,the levels of LAD and Pd were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,the levels of NT-proBNP and hs-CRP in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Wenxin granules combined with Nitroglycerin in the treatment of the patients with atrial fibrillation can improve the total effective rate of treatment,shorten the duration of atrial fibrillation,reduce the frequency of atrial fibrillation,improve the levels of cardiac function indexes,reduce the heart rate,the TCM syndrome scores and the serological index levels.Moreover,it is superior to single Nitroglycerin treatment.

Wenxin granulesNitroglycerinAtrial fibrillationCardiac functionTCM syndrome scoreSerologyHeart rate

裴亚菲

展开 >

开封市第二中医院药剂科,河南 开封 475000

稳心颗粒 硝酸甘油 心房颤动 心功能 中医证候积分 血清学 心率

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(2)
  • 14