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目的:观察复律养心汤联合心律平治疗儿童频发室性期前收缩中医辨证为热邪扰心证的临床疗效。方法:将63例中医辨证为热邪扰心证频发室早患儿随机分为试验组(30例)和对照组(33例),分别采用复律养心汤联合心律平,以及单用心律平治疗,共治疗12周。选取临床症状积分、24h室早频数作为观察指标。每4周为1疗程比较各指标改善情况,同时监测用药安全性。结果:与治疗前比较,两组均能减少患儿24h室早频数(P<0.01),试验组在治疗第8周末对室早频数及室早总疗效的改善优于对照组(P<0.05)。治疗第8周末、第12周末试验组总疗效及中医证候疗效改善方面优于对照组(P<0.05)。治疗过程中两组患儿均无明显不良反应发生。结论:复律养心汤联合心律平治疗儿童频发室早热邪扰心证是安全有效的,对患儿临床症状改善优于单纯应用心律平。
Objective: To observe the clinical efficacy of cardioversion combined with heart rhythm carding treatment of children with frequent premature ventricular contractions TCM syndrome differentiation for the clinical efficacy of thermal interference. Methods: A total of 63 early TCM syndrome differentiation syndromes were randomly divided into experimental group (n = 30) and control group (n = 33) Cardioversion treatment, a total of 12 weeks of treatment. Select clinical symptom scores, 24-h early frequency as an indicator. Every 4 weeks for a course of treatment to compare the improvement of the indicators, while monitoring drug safety. Results: Compared with those before treatment, both groups were able to reduce the frequency of early 24 hours (P <0.01), and the improvement of morning premature ventricular frequency and premature ventricular contraction in the experimental group was better than that of the control group at the end of the 8th week (P <0.05) ). At the end of the 8th week of treatment, the total curative effect of the experimental group and the improvement of the curative effect of TCM syndrome in the twelfth weekend were better than those in the control group (P <0.05). No significant adverse reactions occurred in both groups during treatment. Conclusion: Fudou Yangxin Decoction combined with heart rhythm treatment of children with frequent premature ventricular failure is safe and effective card syndrome, the improvement of clinical symptoms in children is better than the simple application of heart rate.