方华俊. 步长稳心颗粒联合小剂量胺碘酮治疗室性心律失常效果观察[J]. 上海预防医学, 2015, 27(2): 100-103.
引用本文: 方华俊. 步长稳心颗粒联合小剂量胺碘酮治疗室性心律失常效果观察[J]. 上海预防医学, 2015, 27(2): 100-103.
FANG Hua-jun. Buchang Wenxin Granule combined with small-dose amiodarone for ventricular arrhythmia[J]. Shanghai Journal of Preventive Medicine, 2015, 27(2): 100-103.
Citation: FANG Hua-jun. Buchang Wenxin Granule combined with small-dose amiodarone for ventricular arrhythmia[J]. Shanghai Journal of Preventive Medicine, 2015, 27(2): 100-103.

步长稳心颗粒联合小剂量胺碘酮治疗室性心律失常效果观察

Buchang Wenxin Granule combined with small-dose amiodarone for ventricular arrhythmia

  • 摘要: 目的分析应用步长稳心颗粒联合小剂量胺碘酮治疗室性心律失常(VA)的临床疗效及价值。方法以中医院最近2年内收治的VA 114例为研究对象,患者用随机数字表随机分成对照组和观察组,分别给予小剂量胺碘酮和步长稳心颗粒联合小剂量胺碘酮治疗,记录治疗前后QT间期及血清超敏反应蛋白(hs-CRP)水平的变化情况,观察治疗效果及不良反应。结果治疗前,两组QT间期与血清hs-CRP水平对比均无明显差异,治疗后观察组QT间期为(451±52) ms,明显较对照组的(414±46) ms延长,hs-CRP水平为(2.97±1.01) mg/L,也明显较对照组的(3.56±1.05) mg/L低,差异均有统计学意义(P<0.05);观察组控制有效率为91.23%(52/57),较对照组的73.68%(42/57)明显高,差异有统计学意义(P<0.05);观察组、对照组不良反应发生率分别为5.26%(3/57)和7.02%(4/57),差异无统计学意义(P>0.05)。结论步长稳心颗粒联合小剂量胺碘酮治疗VA疗效显著,不良反应少,安全性高,有临床推广价值。

     

    Abstract: Objective To analyze the clinical effect and value of Buchang Wenxin Granule Combined with small dose of amiodarone for patients with ventricular arrhythmias. Methods A total of 114 cases of ventricular arrhythmias treated in our hospital in recent two years were selected as research objects. They were randomly divided into two groups:control and observation. The control group was treated with small-dose amiodarone, and the observation group, with Buchang Wenxin Granule combined with small dose of amiodarone. Their changes of QT interval and the level of hs-CRP in serum before and after treatment were recorded, as well as therapeutic effect and adverse reactions. Results Before treatment, there was no significant difference between QT interval and the level of hs-CRP in serum of the two groups, but after treatment, the QT interval in observation group was (451±52) ms, which was significantly higher than (414±46) ms in control group. And the hs-CRP levels in observation group was (2.97±1.01) mg/L, which was significantly lower than (3.56±1.05) mg/L in control group. The differences between the two groups were statistically significant (P<0.05). The ventricular arrhythmia control rate in observation group was 91.23% (52/57), which was significantly higher as compared to 73.68% (42/57) in the control group. The differences showed statistical significance (P<0.05). Adverse reaction rate in observation group was 5.26% (3/57), which was close to 7.02% (4/57) in the control group. The difference showed no significance (P>0.05). Conclusion Buchang Wenxin Granule combined with small dose of amiodarone in the treatment of ventricular arrhythmia showed great clinical curative effect, less adverse reaction, and high security.

     

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