桂枝甘草龙骨牡蛎加味汤治疗冠心病室性早搏30例临床观察

目的:探析冠心病室性早搏患者进行桂枝甘草龙骨牡蛎加味汤疗法的临床效果观察。方法:选取我院2013年5月至2014年3月冠心病室性早搏患者60例,根据随机数字表法分为研究组、对照组,每组30例,对照组进行常规冠心病疗法,研究组在常规冠心病疗法基础上服用桂枝甘草龙骨牡蛎加味汤,2组均治疗1个月,比较2组治疗后的临床效果情况;比较2组治疗前后的中医临床症状评分情况;比较2组治疗前后的动态心电图室性早搏总数、S-T段压低数、T波改变数、S-T段压低幅度等临床指标的评估。结果:研究组治疗后的临床有效率为96.7%、对照组的临床有效率为60.0%,2组比较差异有统计学意义(P0.05);2组治疗后的中医临床症状评分情况均有改善,但研究组治疗后的中医临床症状评分情况显著优于对照组,差异有统计学意义(P0.05);2组治疗后的动态心电图室性早搏总数、S-T段压低数、T波改变数、ST段压低幅度均有改善,但研究组治疗后的动态心电图室性早搏总数、S-T段压低数、T波改变数、S-T段压低幅度等临床指标显著优于对照组,差异有统计学意义(P0.05)。结论:冠心病室性早搏患者进行桂枝甘草龙骨牡蛎加味汤疗法,可显著改善患者心功能状态,临床效果确切,值得临床推广。

Clinical Observation of Guizhi Gancao Longgu Muli Decoction in the Treatment of 30 Cases of Coronary Heart Disease with Ventricular Premature Beat

To observe the clinical effect of Guizhi Gancao Longgu Muli Decoction therapy on patients with ventricular premature coronary heart disease.Methods:Sixty patients with coronary heart disease accompanied by ventricular premature beat due to treated in our hospital from May 2013 to March 2014 were selected and were randomly divided into the study group and the control group with 30 cases in each group. Patients in the control group were treated by the conventional coronary heart disease therapy, while Guizhi Gancao Longgu Muli decoction was added for patients in the study group accompanied with conventional coronary heart disease therapy. Patients in both the two groups received one-month treatment and the clinical effects of the two groups were compared after treatment.TCM clinical symptom scores were compared between the two groups before and after treatment. The total number of dynamic electrocardiogram of ventricular premature beat, S-T segment depression, T wave change number, and S-T segment pressure evaluation of clinical indicators of low amplitude before and after treatment were compared between the two groups.Results:The clinical efficiency after treatment in the study group was 96.7%, and that of the control group was 60.0%. There was significant difference between two groups (P<0.05). The clinical symptom scores of the two groups were improved after treatment, but the study group was significantly better than those of the control group, showing statistically significant difference (P<0.05). After treatment, two groups of the total number of dynamic electrocardiogram of ventricular premature beat and S-T segment depression, T wave change number, S-T segment depression range were improved, but in the study group, the total number of dynamic electrocardiogram of ventricular premature beat, S-T segment depression, T wave change number, and S-T segment depression clinical parameters of amplitude were significantly better than those of the control group with statistically significant difference (P<0.05).Conclusion:Guizhi Gancao Longgu Muli Decoction therapy in the treatment of coronary heart disease with premature ventricular contractions may significantly improve cardiac function in patients with exact clinical effect, which is worth of clinical promotion.