益心定悸方联合美托洛尔治疗冠心病室性早搏临床观察100例.docVIP

精品论文 参考文献 益心定悸方联合美托洛尔治疗冠心病室性早搏临床观察100例 杨颖 于亚娟 潘洪刚 杜晔 　　（黑龙江中医药大学附属第一医院 黑龙江哈尔滨 150040） 　　【摘要】目的 观察益心定悸方联合美托洛尔治疗冠心病室性早搏的临床疗效。方法 100例患有冠心病室性早搏的患者，随机分为治疗组和对照组，各50例，两组均服用美托洛尔，连续服用1个月，与此同时治疗组加服益心定悸方，观察用药前后患者的主要症状，24小时动态心电图室性早搏数，及其相关实验室检查，并观察患者用药前后有无不良反应。结果 治疗组临床疗效明显高于对照组，P＜0.05，两组差异有统计学意义。结论 益心定悸方联合美托洛尔治疗冠心病室性早搏疗效明显高于单纯使用美托洛尔。 　　【关键词】冠心病 室性早搏 益心定悸方 美托洛尔 　　【中图分类号】R453 【文献标识码】A 【文章编号】1672-5085（2014）15-0149-02 　　【Abstract】objective To observe the heart calm nervous with metoprolol therapy of coronary heart disease clinical curative effect of ventricular premature beat. Methods 100 cases of patients with coronary heart disease (CHD) patients with ventricular premature beat, were randomly divided into treatment group and control group, 50 cases each, two groups are taking metoprolol, for 1 month, at the same time, the treatment group take good heart calm nervous, were observed before and after drug use the main symptoms of patients, 24 hours dynamic electrocardiogram of ventricular premature beat, and related laboratory tests, the medication of the patients were observed before and after the presence of adverse reactions. Results the clinical efficacy of treatment group was obviously higher than that of control group, P lt; 0.05, differences between the two groups have statistical significance. Conclusion good heart nervous party with metoprolol therapy of coronary heart disease curative effect is significantly higher than the simple use of metoprolol premature beat. 　　【key words】coronary heart disease Ventricular premature beat. Good heart ordering party nervous metoprolol 　　心律失常是冠心病常见的一种类型，室性早搏在心律失常中最为常见，属于祖国医学“心悸”的范畴，主要临床表现是心悸，气短，胸闷，乏力等不适症状，严重可猝死，危及生命。此文章主要是观察益心定悸方联合美托洛尔治疗冠心病室性早搏的疗效，现将病例报告分析如下。 　　1临床资料 　　病例选择来自我院2013年1月-2013年12月门诊、住院期间或在居民健康体检中心做心电图或Holter检查诊断为冠心病室性早搏，并且在我院进行追踪治疗的100例患者，按照中医辨证论治属于气虚血瘀型心悸（冠心病室性早搏）的范畴，根据患者临床症状和心电图表现，所有病例的诊断标准均符合国内有关诊断标准。室性早搏通过心电图和24小时动态心电图确诊，100例患者中，男性55例，女性45例，年龄在45岁