升脉复律汤治疗老年缓慢性心律失常的临床探究.pdfVIP

提 要 目的：观察升脉复律汤治疗老年缓慢性心律失常的临床疗效并对其作用机理进行 探讨。方法：60 例老年缓慢性心律失常患者属痰浊痹阻证者随机分成两组，观察组 30例，对照组30例。观察组给予升脉复律汤治疗，对照组给予心宝丸治疗，观察治 疗前后临床症状和化验室检查指标的变化。结果：经治疗四周后，中医症状总体疗效 比较，观察组总有效率为 86.67%，与对照组比较有显著性差异（P＜0.05）。两组均 能提高患者心率，两组间比较无显著性差异（P＞0.05），但观察组对血脂、血流变等 指标改变明显优于对照组。结论：升脉复律汤可显著改善患者的临床症状，同时具有 调节血脂、血流变指标的作用。本研究丰富了中医治疗老年缓慢性心律失常的理论内 容，肯定了升脉复律汤的临床疗效。 关键词 升脉复律汤；老年缓慢性心律失常；临床研究 Clinical Study on Treating Brady Arrhythmia for the Aged with Shengmai Fulv Decoction Speciality：Internal Medicine of Traditional Chinese Medicine Author ：Wang Yulin Tutor ：Prof. Wang Jingcun Abstract Objective ：To study and observe the clinical effect of Shengmai Fulv decoction on Brady Arrhythmia for the aged and explore its mechanism of effect ．Methods ：60 aged patients of Brady Arrhythmia of Tanzhuo Bizu were divided randomly into two groups ．30 cases with Shengmai Fulv decoction were taken as treatment group，the other 30 cases treated with Xinbao capsule were taken as control group ．The changes of clinical symptoms and index in all the patients were observed before and after treatment ．Results ： After four weeks treatment, in the treatment group the total effective rate of meliorating symptoms(86.67%) were significantly better than those of the control group. Both groups heart rate can be enhanced, but the two groups have no significant difference. The treatment group was superior or similar to that of control group in regulating the blood-lipoid and improving vascular endothelial function ．Conclusion ：Shengmai Fulv decoction may improve patients clinical symptom obviously and has the function of regulating the blood-lipoid and improving vascular en