中药联合针灸治疗气阴两虚型快速性心律失常的临床研究Clinical study of Chinese medicine combined with acupuncture and moxibustion for the treatment of rapid arrhythmia of Qi and yin deficiency.pdfVIP

提 要 目的：观察具有益气养阴、宁心安神作用的平心定悸汤辅以针灸治疗气阴两虚型 快速性心律失常的临床疗效。 方法：将符合纳入标准的 60 例气阴两虚型快速性心律失常患者，随机分为中药 针灸治疗组(30例)，针灸对照组(30例)，分别口服平心定悸汤 （方剂组成：生地30g、 玄参 15g、麦冬 30g、党参 30g、五味子 12g、丹参 30g、黄芪 30g、川黄连 15g、苦 参15g、甘松30g、酸枣仁30g、桂枝9g、炙甘草9g。水煎服，每日一剂）配合针灸 治疗，对比单独针灸治疗。观察疗程均为8周。观察心律失常发作次数，中医症状， 舌、脉等变化。 结果：中药针灸组总显效率为 36.67%，总有效率为 86.67%，针灸组的总显效率 为33.33%，总有效率为83.33%，两组无统计学差异(P0. 05)。中药针灸组对心悸、 胸闷、头晕、乏力、寐差等 5 组症状积分比较治疗前与治疗后有显著性差异（P 均 0.01）。针灸组对心悸、头晕、胸闷、乏力、等4组症状积分比较治疗前与治疗后有 显著性差异（P 均0.01）；对寐差症状积分比较治疗前与治疗后无显著性差异（P 均 ＞0.05）。中药针灸组对重症病变的有效率为66.67%，明显高于针灸组（20.00%）。 结论：中药加针灸治疗快速性心律失常总疗效，与针灸组无显著差异。中药加针 灸治疗在改善中医症状方面治疗后较治疗前显著改善，心悸、胸闷、头晕、乏力、寐 差等症状前后差异非常显著，且在改善寐差方面明显优于针灸组。在治疗快速性心律 失常时，对轻中重度病情疗效均可。单纯针灸治疗针对重度病情疗效欠佳。 关键词 平心定悸汤 针灸 气阴两虚型 快速性心律失常 Clinical Study on Treating the Rapid Arrhythmia of Qi and Yin Deficiency Type with Traditional Chinese Medicine And Acupuncture Treatment Speciality ：TCM Author ：Zong Wenjing Tutor：Profeser Xue Yitao ABSTRACT Objective:To observe the clinical curative effect of Pingxindingjitang supplemented by acupuncture with the function of enriching qi nourishing yin calming the heart and mind to treat the rapid arrhythmia of qi and yin deficiency type. Method:60 patients were seperated into two groups stochastically (acupuncture cure group 30 and traditional Chinese medicine(TCM) with acupuncture cure group 30). The observation treating course were eight weeks with drugs applying separately. The acupuncture cure group used acupuncturing the “lingtai” and “shendao”points; The TCM with acupuncture cure group applied the Pingxindingjitang( The prescription shengdi30g xuanshen15g maidong30g dangshen30g wuweizi12g danshen30g huangqi30g chuanhuanglian15g kushen15g ga