本文關(guān)鍵詞：運(yùn)用溫陽(yáng)化瘀法治療心律失常（室性期前收縮）的臨床研究　出處：《長(zhǎng)春中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 室性期前收縮 溫陽(yáng)化瘀法 桂膠顆粒 臨床研究

【摘要】：目的:通過(guò)觀察溫陽(yáng)化瘀方劑“桂膠顆粒”在治療心陽(yáng)不振夾瘀型心律失常(室性期前收縮)方面的臨床療效及安全性,由此來(lái)證明溫陽(yáng)化瘀法的“桂膠顆�！痹谂R床上的安全性及有效性,進(jìn)而為治療心陽(yáng)不振夾瘀型心律失常(室性期前收縮)從中醫(yī)藥角度來(lái)提供安全、有效的方案。方法:本次研究將72例患者隨機(jī)分成每36例患者為1組的治療組和對(duì)照組,應(yīng)用平行對(duì)照的方法。治療組應(yīng)用的桂膠顆粒(由長(zhǎng)春中醫(yī)藥大學(xué)附屬醫(yī)院免煎藥房提供):桂枝1.5g,鹿角膠1.5g,紫石英1.5g,太子參0.5g,磁石1g,炙甘草1g,肉桂1g,巴戟天0.5g,川芎0.5g,石斛1g,砂仁1g,澤蘭1g。(備注:以上生藥1g相當(dāng)于飲片10g),1天2次,取汁300ml,每次150ml,早晚溫水沖服。對(duì)照組應(yīng)用北京以嶺藥業(yè)有限公司生產(chǎn)的參松養(yǎng)心膠囊(批準(zhǔn)文號(hào):國(guó)藥準(zhǔn)字Z20030058):人參、麥冬、山茱萸、丹參、炒酸棗仁、桑寄生、赤芍、土鱉蟲、甘松、黃連、南五味子、龍骨。服法:1天3次,每次4粒(1.6g)口服。通過(guò)上述72例病例(1個(gè)療程28天)對(duì)兩組藥物的有效性及安全性的觀察,進(jìn)而做出客觀的評(píng)價(jià)。結(jié)果:本研究實(shí)際入組病例72例,脫落及剔除病例各為0例。口服桂膠顆粒的治療組在改善中醫(yī)證候方面明顯優(yōu)于對(duì)照組,在中醫(yī)癥候改善的總有效率方面,治療組為86.1%,對(duì)照組為66.7%,經(jīng)統(tǒng)計(jì)數(shù)據(jù)分析(P=0.0250.05),差異明顯。在治療動(dòng)態(tài)心電圖室性期前收縮方面上,治療組的總有效率為:86.1%,對(duì)照組為:66.7%,經(jīng)統(tǒng)計(jì)數(shù)據(jù)分析(P=0.0380.05),差異明顯。結(jié)論:溫陽(yáng)化瘀方劑桂膠顆粒與參松養(yǎng)心膠囊對(duì)比,能安全有效地治療心心陽(yáng)不振夾瘀型心律失常(室性期前收縮);治療28天后,從動(dòng)態(tài)心電圖檢查可見桂膠顆粒治療心律失常(室性期前收縮)療效確切,同時(shí)在中醫(yī)癥候的改善方面,明顯優(yōu)于對(duì)照組。因此,臨床上運(yùn)用桂膠顆粒對(duì)心陽(yáng)不振夾瘀型心律失常(室性期前收縮)的治療,療效明顯。
[Abstract]:Objective: to observe the clinical efficacy and safety of "Guijiao granule", a prescription for warming yang and removing blood stasis, in the treatment of cardiac arrhythmia (ventricular premature contraction). This proves the clinical safety and effectiveness of "Guijiao granule" of warming yang and removing blood stasis, and then provides safety from the perspective of traditional Chinese medicine for the treatment of cardiac arrhythmias (ventricular premature contraction). Methods: in this study, 72 patients were randomly divided into treatment group (group 1) and control group (n = 36). The treatment group was treated with Guijiao granules (provided by the decoction Room of Changchun University of traditional Chinese Medicine): Guizhi 1.5g, antler 1.5g, purple quartz 1.5g. Radix Pseudostellariae 0.5g, magnetite 1g, roasted liquorice 1g, cinnamon 1g, Morinda officinalis 0.5g, Chuanxiong 0.5g, Dendrobium 1g, Amomum villosum 1g. (note: above 1 g of raw medicine is equivalent to 10 g / d of drinking tablets twice, take the juice 300ml, 150ml each time. The control group was taken with warm water in the morning and evening. The control group was treated with Shensong Yangxin capsule produced by Beijing Yiling Pharmaceutical Co., Ltd. (approval number: Z20030058: ginseng, Ophiopogon, Cornus officinalis, Salvia miltiorrhiza, fried jujube kernel. Mulberry parasitism, Radix Paeoniae Alba, hillbilly, Gan Song, Coptis, Schisandra chinensis, keel. The efficacy and safety of the two groups were observed in 72 cases (a course of treatment for 28 days). Results: there were 72 cases in this study, 0 cases were dropped off and 0 cases were eliminated. The treatment group of oral Guijiao granule was superior to the control group in improving TCM syndrome. The total effective rate of TCM symptom improvement was 86.1 in the treatment group and 66.7 in the control group. The total effective rate of the treatment group was: 86.1% and that of the control group was 66.7%. Through statistical data analysis, the difference was obvious. Conclusion: the comparison between Guijiao granules and Shensong Yangxin capsule. It can safely and effectively treat cardiac arrhythmia (ventricular premature contraction). After 28 days of treatment, from the dynamic electrocardiogram examination, we can see that Guijiao granule is effective in the treatment of arrhythmia (ventricular premature contraction), at the same time, it is obviously superior to the control group in the improvement of TCM symptoms. Clinical application of Guijiao granule in the treatment of cardiac arrhythmia (ventricular premature contraction).
【學(xué)位授予單位】：長(zhǎng)春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R259

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 鮑悅;高久堂;孫佳明;張輝;;中藥鹿角膠的研究進(jìn)展[J];吉林中醫(yī)藥;2016年02期

2 林平;;石斛的功用的文獻(xiàn)研究與應(yīng)用開發(fā)探討[J];海峽藥學(xué);2015年11期

3 任強(qiáng);王紅玲;周學(xué)剛;陳凱旋;張?jiān)?王慧云;;澤蘭的化學(xué)成分、質(zhì)量分析及藥理作用研究進(jìn)展[J];中國(guó)藥房;2015年18期

4 梁冰潔;麻秋雷;李蘭媛;李志道;;李志道教授治療心悸經(jīng)驗(yàn)總結(jié)[J];上海針灸雜志;2015年05期

5 郭錦晨;高婷;張浩;劉蘭林;;淺析桂枝在方劑中的配伍規(guī)律及意義[J];甘肅中醫(yī)學(xué)院學(xué)報(bào);2014年06期

6 牛樺;朱月芹;何曉華;;針刺治療心脾兩虛型心悸35例[J];內(nèi)蒙古中醫(yī)藥;2014年25期

7 徐雪琴;龍全江;趙劍;;太子參化學(xué)成分、藥理作用與產(chǎn)地加工技術(shù)研究[J];現(xiàn)代中藥研究與實(shí)踐;2014年04期

8 趙旭;;淺談心悸論治[J];亞太傳統(tǒng)醫(yī)藥;2013年07期

9 嚴(yán)婭娟;曹曼;張丹雁;李世杰;;砂仁現(xiàn)代藥理的國(guó)內(nèi)外研究[J];輕工科技;2013年07期

10 楊娜娜;周勝紅;;溫針灸治療心陽(yáng)不振型心悸40例[J];江西中醫(yī)藥;2013年05期

相關(guān)會(huì)議論文 前1條

1 羅文杰;;針灸治療心悸理論源流[A];中華中醫(yī)藥學(xué)會(huì)心病分會(huì)全國(guó)第十二次學(xué)術(shù)年會(huì)暨中華中醫(yī)藥學(xué)會(huì)心病分會(huì)換屆選舉工作會(huì)議論文精選[C];2010年

相關(guān)碩士學(xué)位論文 前2條

1 黃銳;搏心通軟膠囊治療心陽(yáng)不振型心悸的臨床觀察[D];湖北中醫(yī)藥大學(xué);2013年

2 李文達(dá);參松養(yǎng)心膠囊對(duì)冠心病室性早搏的干預(yù)研究[D];成都中醫(yī)藥大學(xué);2010年

，

本文編號(hào)：1381287