首页|从痰瘀论治房颤40例疗效观察

从痰瘀论治房颤40例疗效观察

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目的 探讨从痰瘀论治房颤的疗效评估及对患者凝血类指标D-二聚体水平的影响.方法 80例痰瘀型房颤患者随机分为对照组与治疗组,每组各40例.对照组采用单纯西医治疗的方法 ,以西医药物治疗为主;而中西医结合治疗组则是在西医治疗的基础上,根据房颤中医辨证分型加用中医治疗,以瓜蒌薤白半夏汤、黄连温胆汤、血府逐瘀汤等为主方加减治疗,比较2组疗效、凝血类指标(D-二聚体).结果 治疗组总有效率(97.5%)高于对照组(82.5%),差异有统计学意义(P<0.05).经治疗后,治疗组的患者D-二聚体水平明显低于对照组,2组比较差异有统计学意义(P<0.05).结论 中西医结合治疗痰瘀型房颤患者效果确切,可降低患者D-二聚体水平.
Treatment of 40 cases of atrial fibrillation by phlegm and blood stasis
Objective To evaluate the effect of phlegm and blood stasis on atrial fibrillation and the effect of D-dimer on coagulation index. Methods 80 patients with phlegm and blood stasis were randomly divided into control group and treatment group, 40 cases in each group. The control group using a simple Western medicine treatment methods to Western medicine treatment based; and integrated traditional Chinese and Western medicine treatment group is based on Western medicine treatment, according to the traditional Chinese medicine syndrome, plus traditional Chinese medicine treatment, with Gualou Xiebai Banxia Decoction , Huanglian Wendan Decoction, Xuefu Zhuyu Decoction and other main plus or minus treatment, compared the two groups of efficacy, coagulation index (D-dimer). Results The total effective rate (97.5%) in the treatment group was higher than that in the control group (82.5%), the difference was statistically significant (P <0.05). After treatment, the level of D dimer in the treatment group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). Conclusion The combination of traditional Chinese medicine and western medicine in the treatment of phlegm and blood stasis type is effective, and the level of D-dimer can be reduced.

atrial fibrillationphlegm and blood stasisintegrated traditional Chinese and western medicine therapyD-dimer

倪飞珍

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浙江省永康市中医院 内科,浙江 永康 321300

房颤 痰瘀论治 中西医结合疗法 D-二聚体

永康市科技计划项目

201431

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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