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[目的]观察辨证分型联合西药治疗缓慢型心律失常疗效。[方法]使用随机平行对照方法,将120例住院及门诊患者按病志号抽签法简单随机分为两组。对照组50例三磷酸腺苷,20mg/次,3次/d;辅酶Q10,10mg/次,3次/d;高血压加卡托普利,12.5mg/次,3次/d;心绞痛加单硝酸异山梨酯,10mg/次,2次/d;阿司匹林,25mg/次,3次/d;降血脂、降糖等对照治疗。治疗组70例辨证分型:气阴两虚(甘草~灸、麦冬、阿胶、黄精、山药各10g,熟地黄、生地黄各20曲;心阳瘀阻(甘草~灸8g,玉竹、当归、川芎、降香各10g,丹参15g,桂枝20g);脾肾阳虚(细辛6g,甘草~炙、麻黄~灸、山茱萸、桂枝、附片制各10g,丹参20g);1剂/d,水煎,成人400mL,儿童100mL,早晚口服,成人200mL/次,儿童50mL/次;西药治疗同对照组。连续治疗90d为1疗程。观测临床症状、心率(静息心率、最慢心率、平均心率)、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈10例,显效42例,有效14例,无效4例,总有效率94.29%。对照组痊愈3例,显效18例,有效10例,无效19例,总有效率62.00%。治疗组疗效优于对照组(P<0.01)。心率指标两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]辨证分型联合西药治疗缓慢型心律失常疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of syndrome differentiation and western medicine in treating arrhythmia. [Methods] Using randomized parallel control method, 120 inpatients and outpatients were randomly divided into two groups according to the random number drawing method. Control group, 50 cases of adenosine triphosphate, 20mg / times, 3 times / d; coenzyme Q10, 10mg / times, 3 times / d; Hypertension plus captopril, 12.5mg / times, 3 times / Sorbitol, 10mg / time, 2 times / d; aspirin, 25mg / time, 3 times / d; hypolipidemic, hypoglycemic and other control treatment. Treatment group, 70 cases of syndrome differentiation: Qi and Yin Deficiency (licorice ~ moxibustion, Radix, Ejiao, Polygonatum, yam 10g, Rehmannia, Rehmannia each 20 song; Heart Yang stasis (licorice ~ moxibustion 8g, Angelica, Chuanxiong, Hong Xiang 10g, Salvia 15g, Guizhi 20g); spleen and kidney yang (asarum 6g, licorice ~ Sunburn, ephedra ~ moxibustion, dogwood, D, decoction, adult 400mL, children 100mL, sooner or later oral, adult 200mL / times, children 50mL / times; Western medicine treatment with the control group.Continuous treatment 90d for a course of treatment.Observation of clinical symptoms, heart rate (resting heart rate, Slowed heart rate, average heart rate), adverse reactions.After 1 courses of treatment, the curative effect was determined. [Results] In the treatment group, 10 cases were cured, 42 cases were effective, 14 cases were effective, 4 cases were ineffective and the total effective rate was 94.29% 18 cases were markedly effective, 10 cases were effective, 19 cases were ineffective and the total effective rate was 62.00% .The curative effect of the treatment group was better than that of the control group (P0.01) .The heart rate index was improved in both groups (P0.01) Group (P <0.01). [Conclusion] Syndrome differentiation combined with western medicine is effective in treating arrhythmia with no serious adverse reactions and is worth popularizing.