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目的观察步长稳心颗粒联用小剂量胺碘酮治疗老年慢性充血性心力衰竭(CHF)并室性早搏的疗效。方法45例老年CHF患者,随机分对照组(22例)和治疗组(23例)。对照组给予洋地黄、利尿药、血管紧张素转换酶抑制药、血管扩张药加用常规剂量胺碘酮治疗,治疗组在给予上述常规治疗的基础上加用小剂量胺碘酮及步长稳心颗粒。结果步长稳心颗粒联用小剂量胺碘酮的治疗组对室性早搏、胸闷、心悸症状改善的总有效率分别为95.6%、95.7%、91.3%;对照组分别为72.7%、81.8%、77.3%.两组差异有统计学意义。结论步长稳心颗粒联用小剂量胺碘酮抗心律失常疗效好,且有症状改善显著,无副作用,提高了生活质量。
Objective To observe the curative effect of step-stabilizing granule combined with low-dose amiodarone on senile chronic congestive heart failure (CHF) and premature ventricular contractions. Methods 45 elderly CHF patients were randomly divided into control group (n = 22) and treatment group (n = 23). The control group was given digitalis, diuretic drugs, angiotensin converting enzyme inhibitors, vasodilators and conventional dose of amiodarone treatment group in the treatment group given the conventional treatment based on the use of small doses of amiodarone and step stabilization Heart particles. Results The total effective rate of step-stabilizing granule combined with low-dose amiodarone treatment group was 95.6%, 95.7% and 91.3% respectively for the patients with premature ventricular contractions, chest tightness and palpitation. The control groups were 72.7% and 81.8% , 77.3% respectively.The difference between the two groups was statistically significant. Conclusion The step-stabilizing granule combined with low-dose amiodarone antiarrhythmic effect is good, and there is significant improvement in symptoms, no side effects, improve the quality of life.