黄连温胆汤加味治疗室性早搏痰瘀互结证的临床研究

发布时间：2018-04-12 23:22

本文选题：室性早搏 + 黄连温胆汤加味　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:研究黄连温胆汤加味治疗室性早搏痰瘀互结证的作用机制及临床疗效,为该病治疗提供一定参考,为祖国医学做贡献。方法:收集符合病例纳入标准的室性早搏患者60例,随机分为对照组30例给予口服酒石酸美托洛尔治疗,治疗组30例在口服酒石酸美托洛尔基础上加黄连温胆汤加味治疗。4周为一个疗程,观察治疗前后动态心电图、中医证侯、安全性检测等指标。运用SPSS17.0软件统计分析数据。结果:1.早搏疗效:两组疗效存在显著性差异(P(27)0.05),治疗组明显优于对照组。2.中医证侯疗效:两组存在非常显著性差异(P(27)0.01),治疗组非常明显优于对照组。3.中医单项症状疗效:治疗心悸、胸痛、脉象上,治疗组优于对照组(P(27)0.05);在治疗胸闷、烦躁、失眠、口苦及改善舌苔上,治疗组明显优于对照组(P(27)0.01);在治疗气短、乏力上,治疗组与对照组无明显差异(P(29)0.05)。结论:黄连温胆汤加味联合西药常规治疗可明显提高室性早搏疗效,与单纯西医治疗相比,可明显减少早搏次数,显著改善临床症状。
[Abstract]:Objective: to study the mechanism and clinical effect of Huanglian Wendan decoction in treating the syndrome of phlegm and blood stasis in ventricular premature beats.Methods: a total of 60 patients with ventricular premature beats were randomly divided into control group (n = 30) and treated with oral metoprolol tartrate.SPSS17.0 software is used to analyze the data.The result is 1: 1.The curative effect of premature beat: there was significant difference between the two groups. The treatment group was better than the control group.The curative effect of TCM syndrome: there is a very significant difference between the two groups, the treatment group is obviously superior to the control group. 3.The curative effect of TCM single symptom: in treating palpitation, chest pain and pulse, the treatment group is superior to the control group in treating chest tightness, irritability, insomnia, bitter mouth and improving tongue coating. In the treatment of shortness of breath and fatigue, the treatment group is obviously superior to the control group in the treatment of shortness of breath and fatigue.There was no significant difference between the treatment group and the control group.Conclusion: Huanglian Wendan decoction combined with routine treatment of western medicine can significantly improve the efficacy of ventricular premature beat, compared with western medicine treatment, can significantly reduce the number of premature beats, significantly improve clinical symptoms.
【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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