清降汤治疗室性早搏的临床探究.pdfVIP

提 要 目的：通过临床观察验证清降汤治疗室性早搏的疗效并探讨其机理。 方法：临床研究中将 60 例中医证属痰火扰心的室性早搏患者随机分为观察组 30 例，予清降汤治疗；对照组 30 例，予稳心颗粒口服治疗。4 周为一疗程。 结果：清降汤可明显改善患者中医症状，两组间有统计学意义，观察组优于对照 组（P0.05 ）。早搏疗效观察组和对照组比较，两组间无统计学意义（P0.05 ）。 结论：清降汤可显著改善患者的症状和动态心电图表现，减少室性早搏发生频率， 降低室性早搏严重程度。 关键词 室性早搏；清降汤；中医药治疗；临床研究 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