稳心颗粒配合胺碘酮治疗阵发性心动过速临床研究
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R541.71

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Clinical Study on Wenxin Gruanles Combined with Amiodarone for Paroxysmal Supraventricular Tachycardia
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    摘要:

    目的:观察稳心颗粒配合胺碘酮治疗阵发性心动过速的临床疗效。方法:将92 例阵发性心动过速 患者以简单随机化法分为研究组与对照组各46 例,对照组给予胺碘酮治疗,研究组在对照组基础上给予稳心 颗粒治疗。疗程结束后观察2 组临床疗效、60 min 转复情况及治疗前后心电图及心功能指标。结果:研究组临 床总有效率89.13%,高于对照组71.74% (P<0.05)。治疗后,2 组60 min 转复率比较,差异无统计学意 义(χ2=0.337,P=0.562);研究组转复时间短于对照组(P<0.05)。治疗前,2 组室性期前收缩数、短阵室速 数比较,差异无统计学意义(P>0.05);治疗后,2 组室性期前收缩数、短阵室速数均减少(P<0.05),且研 究组少于对照组(P<0.05)。治疗前,2 组左室射血分数(LVEF)、左室舒张末期容积(LVEDV) 及左室收缩 末期容积(LVESV) 水平比较,差异无统计学意义(P>0.05);治疗后,2 组LVEF 水平均升高(P<0.05), LVEDV、LVESV 水平均降低(P<0.05);且研究组LVEF 水平高于对照组,LVEDV、LVESV 水平低于对照 组(P<0.05)。结论:稳心颗粒配合胺碘酮治疗阵发性心动过速临床疗效显著,可缩短转复时间,缓解心律失 常,改善心功能。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Wenxin Gruanles combined with Amiodarone for paroxysmal supraventricular tachycardia. Methods: A total of 92 cases of patients with paroxysmal supraventricular tachycardia were divided into the study group and the control group according to the simple randomization method,with 46 cases in each group. The control group was treated with Amiodarone,and the study group was additionally treated with Wenxin Gruanles based on the treatment of the control group. After treatment, clinical effects and conversion in 60 minutes were observed in the two groups. Electrocardiogram,and heart function indexes before and after treatment were observed in the two groups. Results: The total effective rate of clinical effect was 89.13% in the study group, higher than that of 71.74% in the control group (P<0.05). After treatment,there was no significant difference being found in the comparison of conversion in 60 minutes between the two groups (χ2=0.337,P=0.562);the conversion time in the study group was shorter than that in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of the number of ventricular premature contractions and the number of non- sustained ventricular tachycardia between the two groups (P>0.05); after treatment,the number of ventricular premature contractions and the number of non-sustained ventricular tachycardia in the two groups were decreased (P<0.05), and the two numbers in the study group were lower than those in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of the levels of left ventricular ejection fraction (LVEF), left ventricular enddiastolic volume (LVEDV),and left ventricular end- systolic volume (LVESV) between the two groups (P> 0.05);after treatment,the levels of LVEF in the two groups were increased (P<0.05),and the levels of LVEDV and LVESV were decreased (P<0.05);the level of LVEF in the study group was higher than that in the control group, and the levels of LVEDV and LVESV in the study group were lower than those in the control group (P<0.05). Conclusion: Wenxin Gruanles combined with Amiodarone for paroxysmal supraventricular tachycardia has a significant clinical effect, and can shorten conversion time, relieve arrhythmia and improve heart function.

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娄轶群,朱敏,陈子茵.稳心颗粒配合胺碘酮治疗阵发性心动过速临床研究[J].新中医,2023,55(3):58-61

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  • 在线发布日期: 2023-02-17
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