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目的:观察益气养心汤合美托洛尔治疗心律失常疗效。方法:使用随机平行对照方法,将242例分为两组,均进行西药综合治疗,并停服其它抗心律失常药5个半衰期。对照组68例美托洛尔口服。治疗组174例在对照组基础上加服益气养心汤,3次/d,口服。均4周为1疗程。观察动态心电图与临床症状改善及不良反应。治疗4疗程(112 d)判定疗效。结果:动态心电图改善总有效率治疗组68.4%优于对照组36.7%(P<0.01),临床症状疗效总有效率治疗组81.7%优于对照组30.9%(P<0.05),不良反应治疗组低于对照组。结论:益气养心汤可抗心律失常,与美托洛尔联用可提高疗效,减少不良反应。
Objective: To observe the therapeutic effect of Yiqi Yangxin Decoction and Metoprolol on arrhythmia. Methods: Using randomized parallel control method, 242 cases were divided into two groups, all of which were treated with western medicine and stopped the other half-life of other anti-arrhythmic drugs. Control group, 68 cases of metoprolol orally. In the treatment group, 174 cases were given oral Yiqi Yangxin Decoction 3 times daily on the basis of the control group. All 4 weeks for a course of treatment. To observe the dynamic ECG and clinical symptoms and adverse reactions. Treatment of 4 courses (112 d) to determine the efficacy. Results: The total effective rate of dynamic electrocardiogram was 68.4% in treatment group and 36.7% in control group (P <0.01). The total effective rate of clinical symptom was 81.7% in treatment group and 30.9% in control group (P <0.05) Lower than the control group. Conclusion: Yiqi Yangxin Decoction can prevent arrhythmia, combined with metoprolol can improve the curative effect and reduce adverse reactions.