CAJ | 학술논문

目的：观察清热复脉汤联合美托洛尔对痰热型室性期前收缩(VPC)的疗效。方法：60例痰热型VPC患者随机分为治疗组和对照组，每组30例患者，对照组患者给予琥珀酸美托洛尔片口服，治疗组患者在对照组治疗的基础上给予清热复脉汤，每日一剂口服，两组的疗程均为3周。比较两组患者用药前后的疗效和VPC次数。结果：治疗后治疗组的临床总有效率和中医症候总有效率分别为80.0%、83.3%，均明显高于对照组(P＜0.05)。治疗后两组患者VPC次数均明显减少，但治疗组的改善效果优于对照组(P＜0.05)。结论：清热复脉汤联合美托洛尔对痰热型VPC有较好的疗效，并能显著改善患者的中医临床症候。
목적：관찰청열복맥탕연합미탁락이대담열형실성기전수축(VPC)적료효。방법：60례담열형VPC환자수궤분위치료조화대조조，매조30례환자，대조조환자급여호박산미탁락이편구복，치료조환자재대조조치료적기출상급여청열복맥탕，매일일제구복，량조적료정균위3주。비교량조환자용약전후적료효화VPC차수。결과：치료후치료조적림상총유효솔화중의증후총유효솔분별위80.0%、83.3%，균명현고우대조조(P＜0.05)。치료후량조환자VPC차수균명현감소，단치료조적개선효과우우대조조(P＜0.05)。결론：청열복맥탕연합미탁락이대담열형VPC유교호적료효，병능현저개선환자적중의림상증후。
Objective:To observe the therapeutic effects of Qingrefumai decoction combined metoprolol succinate in treatment of ventricular premature contraction (VPC). Methods:60 phlegm-heat type VPC patients were randomly divided into treatment group and control group, with 30 patients in each group. The patients in control group were only given metoprolol succinate;while the patients in treatment group were also given Qingrefumai decoction. The therapeutic effects and times of VPC of patients in 2 groups were compared after 3-week treatment course.Results:After treatment, the total clinical effective rate and TCM symptoms total effective rate of treatment group were respectively 80.0%and 83.3%, which were all obviously higher than that of control group (P<0.05). After treatment, the times of VPC of patients in 2 groups were all decreased;moreover, the improving effects of treatment group was better than control group (P<0.05).Conclusions:Treating VPC with Qingrefumai decoction combined metoprolol succinate can get better therapeutic effects;also can improve TCM symptoms signiifcantly.