三甲复脉汤治疗快速性心律失常阴虚火旺证的临床研究

发布时间：2018-03-04 03:22

本文选题：快速性心律失常　切入点：阴虚火旺证　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:旨在临床观察运用三甲复脉汤治疗快速性心律失常阴虚火旺证患者后临床症状的改善及临床疗效评价。试图探索治疗快速性心律失常阴虚火旺证疗效确切的中草药,为中医临床工作者防治心律失常提供切实可行的依据,为进一步开发利用三甲复脉汤创造有临床意义的条件。方法:以“滋阴潜阳、养血复脉”立法,使用三甲复脉汤联合琥珀酸美托洛尔(倍他乐克)对快速性心律失常(中医辨证为阴虚火旺型心悸)患者进行系统的临床治疗观察,并与琥珀酸美托洛尔(倍他乐克)进行对照。结果:1.三甲复脉汤联合琥珀酸美托洛尔(倍他乐克)治疗快速性心律失常总有效率为86.67%,对照组为56.67%,试验组与对照组比较有显著性(P0.05)。2.三甲复脉汤联合琥珀酸美托洛尔(倍他乐克)中医症状改善总有效率93.3%,对照组40.0%,试验组与对照组比较有显著性差异(P0.05)。3.试验组治疗前后比较、试验组与对照组比较,三甲复脉汤在改善中医症状和心功能,降低心室率方面都有较好的疗效。结论:本研究丰富了中医药治疗快速性心律失常(阴虚火旺)的理论内容,肯定了三甲复脉汤的临床疗效。以“滋阴潜阳、养血复脉”立法的中药制剂治疗快速性心律失常阴虚火旺证有良好的疗效,且安全可靠,不良反应少,临床值得进一步研究和推广。
[Abstract]:Objective: To observe the clinical application of Sanjia Fumai Decoction in treating rapid arrhythmia to improve the clinical symptoms of hyperactivity of fire due to yin deficiency syndrome and clinical curative effect evaluation. To explore the treatment of tachyarrhythmia hyperactivity of fire due to yin deficiency curative effect of Chinese herbal medicine, and to provide a practical basis for prevention and treatment of arrhythmia clinical workers, for the further development and utilization sanjiafumai Tang to create clinically significant conditions. Methods: "Yin and Yang, nourishing blood Fumai" legislation, the use of Sanjia Fumai decoction combined with metoprolol (Betaloc) often lose to the rapid ventricular (TCM yinxuhuowang palpitations) clinical observation of patients and system. With metoprolol (Betaloc) were compared. Results: 1. sanjiafumai decoction combined with metoprolol (Betaloc) for the treatment of rapid arrhythmia total effective rate was 86.67% in the control group 56.67%, the experimental group and the control group was significant (P0.05).2. sanjiafumai decoction combined with succinic acid Mei TORO M (Betaloc) TCM symptoms improve the total efficiency of 93.3%, 40% in the control group, the experimental group and the control group with significant difference (P0.05) before and after.3. treatment in experimental group, group comparison test with the control group, Sanjia Fumai Decoction in improving TCM symptoms and cardiac function, reduce ventricular rate has better curative effect. Conclusion: This study enriches the traditional Chinese medicine in the treatment of tachyarrhythmia (Yindeficiency) theory, confirms the clinical efficacy of sanjiafumai Tang. "Yin and Yang. Have a good effect of Yangxue Fumai" legislation of traditional Chinese medicine preparation for treating rapid arrhythmia of hyperactivity of fire due to yin deficiency, and is safe and reliable, less adverse reaction, is worthy of further research and promotion.

【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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