首页|稳心颗粒联合伊伐布雷定对老年缺血性心律失常患者血流动力学及心电图结果的影响

稳心颗粒联合伊伐布雷定对老年缺血性心律失常患者血流动力学及心电图结果的影响

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目的 探讨稳心颗粒联合伊伐布雷定对老年缺血性心律失常患者血流动力学及心电图结果的影响。方法 172 例老年缺血性心律失常患者作为研究对象,按照随机数字表法分为对照组和联合组,每组 86 例。两组患者均接受基础治疗,在此基础上,对照组患者接受伊伐布雷定治疗,联合组患者接受稳心颗粒联合伊伐布雷定治疗。对比两组患者的近期疗效、血流动力学指标[血浆粘度(PV)、红细胞沉降率(ESR)、血细胞比容(HCT)]、心电图结果[心率(HR)、QT间期(QTc)、QT间期离散度(QTd)]。结果 治疗 3 个月后,联合组患者的治疗总有效率 100。00%高于对照组的 95。35%,差异有统计学意义(P<0。05)。治疗 3 个月后,两组患者的PV、ESR、HCT水平均低于本组治疗前,且联合组患者PV(1。42±0。18)mPa·s、ESR(16。40±2。81)mm/h、HCT(40。14±5。33)%低于对照组的(1。69±0。24)mPa·s、(19。55±2。76)mm/h、(45。08±5。64)%,差异均有统计学意义(P<0。05)。治疗 3 个月后,两组患者HR、QTc、QTd低于本组治疗前,且联合组HR(83。20±9。65)次/min、QTc(330。64±50。16)ms、QTd(49。85±6。21)ms低于对照组的(90。64±12。18)次/min、(371。20±54。58)ms、(57。02±7。44)ms,差异均有统计学意义(P<0。05)。结论 采用稳心颗粒联合伊伐布雷定治疗老年缺血性心律失常患者,可有效提升近期疗效,改善血流动力学、心电图,值得临床推广应用。
Effects of Wenxin granule combined with ivabradine on hemodynamics and electrocardiogram results in elderly patients with ischemic arrhythmia
Objective To investigate the effects of Wenxin granule combined with ivabradine on hemodynamics and electrocardiogram results in elderly patients with ischemic arrhythmia.Methods A total of 172 elderly patients with ischemic arrhythmia were selected as research subjects.According to the principle of random number table,the patients were divided into a control group and a combination group,with 86 cases in each group.Patients in both groups received basic treatment,on this basis,patients in the control group received ivabradine treatment,and patients in the combination group received Wenxin granule combined with ivabradine treatment.The short-term efficacy,hemodynamic indexes[plasma viscosity(PV),erythrocyte sedimentation rate(ESR),hematocrit(HCT)]and electrocardiogram results[heart rate(HR),correct QT(QTc),QT interval dispersion(QTd)]were compared between the two groups.Results At 3 months after treatment,the total effective rate of the combination group was 100.00%,which was higher than 95.35%of the control group,and the difference was statistically significant(P<0.05).At 3 months after treatment,the levels of PV,ESR and HCT in both groups were lower than those before treatment;the combination group had PV of(1.42±0.18)mPa·s,ESR of(16.40±2.81)mm/h and HCT of(40.14±5.33)%,which were lower than(1.69±0.24)mPa·s,(19.55±2.76)mm/h and(45.08±5.64)%in the control group;the difference was statistically significant(P<0.05).At 3 months after treatment,HR,QTc and QTd in both groups were lower than those before treatment;the combination group had HR of(83.20±9.65)beats/min,QTc of(330.64±50.16)ms and QTd of(49.85±6.21)ms,which were lower than(90.64±12.18)beats/min,(371.20±54.58)ms and(57.02±7.44)ms in the control group;the difference was statistically significant(P<0.05).Conclusion The combination of Wenxin granules and ivabradine for elderly patients with ischemic arrhythmia can effectively improve the short-term efficacy,hemodynamics and electrocardiogram results,which is worthy of clinical promotion.

Ischemic arrhythmia in the elderlyWenxin granuleIvabradineHemodynamicsElectrocardiogram

刘太锐

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350800 闽清县总医院

老年缺血性心律失常 稳心颗粒 伊伐布雷定 血流动力学 心电图

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(5)
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