中医辨证论治方案治疗缓慢型心律失常的疗效观察

寇耀君，刘西涛

（蓝田县中医院，陕西 西安，710500）

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摘要：

目的 对中医辨证论治方案治疗缓慢型心律失常的疗效进行观察。方法 选择我科2014年9月至2015年9月接收的80例缓慢型心律失常患者，将其随机分为观察组（40 例）与对照组（40例）。给予观察组患者中医辨证论治方案治疗，给予对照组患 者常规西医疗法，对两组患者治疗前、后的心率、临床有效率及不良反应发生情况进行比较。结果 治疗前，两组患者的平均心率、静息状态下心率及最慢心率比较，差异均无统计学意义（P>0.05）。治疗后，两组患者的平均心率、静息状态下心率及最慢心率均显著改善，且观察组明显优于对照组，差异具有统计学意义（P<0.05）。观察组患者的治疗总有效率为90.00%，明显高于对照组的67.50%，差异具有统计学意义（P<0.05）；观察组不良反应发生率为2.50%，明显低于对照组的25.00%，差异有统计学意义（P<0.05）。结论 通过中医辨证论治方案对缓慢性心律失常进行治疗，不仅能够有效改善患者心率情况，而且临床治疗有效率较高，不良反应发生率较低，安全有效，值得临床推广应用。

关键词：缓慢型心律失常；中医辨证治疗；心率

中图分类号：R259 文献标志码：A文章编号：2096-1413(2017)18-0128-03

Effect observation of TCM syndrome differentiation and treatment plan in the treatment of slow arrhythmia
KOU Yao-jun, LIU Xi-tao
(Lantian County Hospital of Traditional Chinese Medcine, Xi``an 710500, China)

ABSTRACT: Objective To observe the therapeutic effect of TCM syndrome differentiation and treatment plan in the treatment of slow arrhythmia. Methods Eighty cases of patients with slow arrhythmia in our department from September 2014 to September 2015 were selected as the study objects, which were randomly divided into observation group (40 cases) and control group (40 cases). The observation group was given TCM syndrome differentiation and treatment plan, and the control group was given routine western medicine therapy. The heart rate before and after treatment, clinical efficiency and adverse reactions in the two groups were compared. Results There were no significant differences in the mean heart rate, resting heart rate and the slowest heart rate between the two groups before treatment (P>0.05); after treatment, the mean heart rate, resting heart rate and the slowest heart rate were significantly improved in the two groups, and those of the observation group were significantly higher than the control group (P<0.05). The total effective rate of  the observation group was 90.00%, which was significantly higher than 67.50% of the control group, the difference was statistically significant (P<0.05). The incidence of adverse reactions in the observation group was 2.50% , which was significantly lower than 25.00% in the control group, the difference was statistically significant (P<0.05). Conclusion TCM syndrome differentiation and treatment plan for slow arrhythmia can effectively improve the patients`` heart rate, and the clinical treatment is efficient, with low incidence rate of adverse reaction and high safety. It is worthy of clinical application.
KEYWORDS：slow arrhythmia; TCM syndrome differentiation and treatment plan; heart rate

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