清降汤治疗室性搏的临床研究.pdfVIP

Clinical Study of the treatment of PVC with Qing Jiang decoction Speciality:Department of Chinese internal medicine Author:Li Shuyi Tutor:Gao Hongchun Abstract Objective: To observe the clinical effect of the Qing Jiang decoction on PVC and discuss the mechanisms of the method of dispersing liver, reducing phlegm and resolving heatclaming and relieving the mind. Methods: In clinical research 60 cases of Fire disturbance heart-shaped ventricular premature were randomly divided into treatment group 30 cases treated by Qing Jiang decoction; control group 30 cases treated by Wenxin Granule; Four weeks were one treatment course. Results: In the observation group, the symptoms were improved remarkably, which were significantly better than those of the control group (P0. 05). The curative effect Of PVC in two groups had no significant deviation （P0.05). Conclusion: Qing Jiang decoction can improve clinic symptoms and the manifestation of DCG remarkably ，reduce incidence rate of PVC and degrade the Severity of PVC. Keywords: PVC ；Qing Jiang decoction ；Chinese medicine treatment ；Clinical research. 目 录 引 言 1 临床研究 2 一、病例选择标准 2 （一）西医诊断标准 2 （二）中医诊断标准 3 （三）中医辨证标准 3 （四）症候评分方法及中医病情轻重分级 3 二、试验病例标准 5 （一）纳入病例标准 5 （二）排除病例标准 5 三、临床资料 5 四、治疗及观察方法 7 （一）分组及治疗方法 7 （二）观测项目与指标 7 五、疗效判定标准 8 （一）室性早搏总疗效判定标准 8 （二）室性早搏的次数疗效判定标准 8 （三）中医证候疗效判定标准 8 （四）中医单项症状疗效判定标准 9 （五）中止和撤除临床试验的标准 9 六、统计方法 9 七、研究结果及分析 9 （一）室性早搏疗效比较 9 （二）中医症状疗效比较 10 八、安全性评价结果 11 讨 论 12 一、病机探讨 12 （一）痰是心悸的重要病理因素 12 （二）痰火扰心是心悸的重要病机 13 二、治法与组方 14 （一）治法 14 （二）组方述要 14 三、现代药理研究 15 四、临床疗效分析 19 五、优势和展望 20 六、存在的问题 20 结