黄连温胆汤加减治疗室性早搏属痰火扰心证的临床疗效研究

发布时间：2018-06-01 02:54

本文选题：室性早搏 + 痰火扰心证　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的：通过研究黄连温胆汤加减治疗室性早搏患者证属痰火扰心的临床疗效及临床安全性,探讨西药治疗效果欠佳的情况下,应用中药增强治疗效果的临床可行性,进一步寻求室性早搏患者属痰火扰心证的最佳治疗方案,为临床应用提供有效的科学依据方法：选取符合标准的室性早搏属痰火扰心证的患者60例,随机分成两组,其中对照组30例,予口服心律平治疗;治疗组30例,服用中药黄连温胆汤加减治疗,4周作为一个疗程。结果：通过观察两组患者的临床症状及动态心电图的表现,发现服用中药黄连温胆汤加减的患者临床症状较服用西药组的患者明显减轻,动态心电图统计早搏次数亦明显减少,两组间有显著性差异(P0.05),具有临床可行性。结论：服用黄连温胆汤加减治疗室性早搏属痰火扰心证的疗效要优于使用西药治疗的疗效,可有效改善患者的临床症状及表现,提高患者的生活质量,具有一定的临床指导意义。
[Abstract]:Objective: to study the clinical efficacy and safety of Huanglian Wendan decoction in treating ventricular premature beats with phlegm and fire disturbance, and to explore the clinical feasibility of using traditional Chinese medicine to enhance the therapeutic effect under the condition of poor therapeutic effect of western medicine. In order to provide effective scientific basis for clinical application, 60 cases of ventricular premature beats with phlegm and fire disturbance were selected and randomly divided into two groups. 30 cases in the control group were treated with oral propafenone and 30 cases in the treatment group were treated with Huanglian Wendan decoction for 4 weeks as a course of treatment. Results: by observing the clinical symptoms and dynamic electrocardiogram (ECG) of the two groups, it was found that the clinical symptoms of the patients treated with Huanglian Wendan decoction were obviously alleviated than those of the western medicine group, and the number of premature beats in the ambulatory electrocardiogram was also significantly decreased. There was significant difference between the two groups (P 0.05). Conclusion: taking Huanglian Wendan decoction to treat ventricular premature beats with phlegm and fire disturbance of heart is better than that of western medicine. It can effectively improve the clinical symptoms and manifestations of the patients and improve the quality of life of the patients. It has certain clinical guiding significance.
【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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