炙甘草汤加减联合稳心颗粒治疗冠心病伴心律失常的价值观察.docx

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【摘要】目的：探究炙甘草汤加减联合稳心颗粒治疗冠心病伴心律失常的临床效果。方法：将2022年1月—2023年12月本院收治的68例冠心病伴心律失常患者纳入研究，经过抛硬币法随机分成两个小组，对照组（34例）应用稳心颗粒治疗，观察组（34例）应用炙甘草汤+稳心颗粒治疗。对比两组治疗效果、中医症状积分以及不良反应。结果：观察组治疗总有效率远高于对照组（P0.05）；治疗后，观察组气短、神倦乏力及心悸等中医症状积分低于对照组（P0.05）；观察组不良反应发生率和对照组相比无明显差异（P0.05）。结论：炙甘草汤加减联合稳心颗粒应用在冠心病伴心律失常患者治疗中，可发挥理想治疗作用。

【关键词】炙甘草汤；稳心颗粒；冠心病；心律失常；中医症状积分

ObservationonthevalueofmodifiedZhigancaoTangcombinedwithWenxingranulesinthetreatmentofcoronaryheartdiseasewitharrhythmia

HANWei

MufuMountainCommunityHealthServiceCenter，GulouDistrict，NanjingCity，Nanjing，Jiangsu210028，China

【Abstract】Objective：ToexploretheclinicaleffectofmodifiedZhigancaodecoctioncombinedwithWenxingranulesinthetreatmentofcoronaryheartdiseasewitharrhythmia.Methods：Atotalof68patientswithcoronaryheartdiseaseandarrhythmiaadmittedtoourhospitalfromJanuary2022toDecember2023wereincludedinthestudy.Theywererandomlydividedintotwogroupsusingacointossmethod.Thecontrolgroup（34cases）receivedtreatmentwithWenxingranules，whiletheobservationgroup（34cases）receivedtreatmentwithZhigancaodecoctionandWenxingranules.Thetreatmenteffects，TCMsymptomscores，andadversereactionsbetweenthetwogroupswerecompared.Results：Thetotaleffectiverateoftreatmentintheobservationgroupwasmuchhigherthanthatinthecontrolgroup（P0.05）；Aftertreatment，thescoresofTCMsymptomssuchasshortnessofbreath，fatigue，andpalpitationsintheobservationgroupwerelowerthanthoseinthecontrolgroup（P0.05）；Therewasnosignificantdifferenceintheincidenceofadversereactionsbetweentheobservationgroupandthecontrolgroup（P0.05）.Conclusion：ThecombinationofZhigancaoTangandWenxingranulescanplayanidealtherapeuticroleinthetreatmentofpatientswithcoronaryheartdiseaseandarrhythmia.

【KeyWords】Zhigancaosoup；Wenxingranules；Coronaryheartdisease；