从心肝论治冠心病室性早搏的临床探究.pdfVIP

提 要 目的：探讨从肝和情志方面出发在冠心病室性早搏治疗中所起的作用。 方法：通过文献研究和临床观察相结合的方法。1.文献研究：首先，从中医学方 面，对历代文献进行梳理，寻找肝和情志对“心悸”“惊悸”致病的机理和论据；其 次，查阅现代医学研究心理因素诱发冠心病室性早搏的相关资料，以及现阶段现代医 学的治疗方法。2.临床研究：方法：将 60 例中年冠心病室性早搏患者随机分为治疗 组 30 例，予经验方剂治疗，对照组 30 例，予可达龙口服，疗程为 60 天，观察治疗 前后临床症状和实验室检查指标的变化。 结果：经临床观察，治疗组患者的临床症状明显改善，其疗效与对照组有显著性 差异(P0.05)。早搏次数两组治疗前后均有明显减少，组间比较有显著性差异 (P0.05)。观察组患者的室性早搏次数、心电图QT离散度、心电图ST-T等指标的改 善明显优于对照组。 结论：观察组从整体调控入手，强调情志因素在发病致病中的重要性，治疗冠心 病室性早搏，显著改善了患者的临床症状和动态心电图表现，减少了室性早搏发生次 数，降低了室性早搏的严重程度，同时兼有改善心肌缺血的作用。此研究肯定了从心 肝理论出发治疗冠心病室性早搏的临床疗效，丰富了中医药治疗冠心病室性早搏的理 论内容。 关键词 心肝 情志 冠心病室性早搏 疏肝解郁 Clinical study of coronary heart disease premature ventricular contractions on the treatment of the heart and liver Specialty:Internal Medicine of Traditional Chinese Medicine Author:Dai Kaixuan Tutor:Professor Bao Peirong Abstract Purpose ：Explore the role in the treatment of coronary heart disease premature ventricular contractions starting from the liver and emotions. Method ：Through a combination of literature research and clinical observation. Literature: First, from the medical aspects of ancient literature to sort out, looking for the liver and emotions of palpitations fright pathogenic mechanism and arguments; Second, access to modern medical research psychological factors induce coronary heart disease premature ventricular contractions relevant information, as well as at the present stage of modern medicine treatment. Clinical research: Methods: 60 cases of middle-aged patients with coronary heart disease premature ventricular contractions were randomly divided into observa