中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
6期
37-38,39
,共3页
更年期心律失常%甘麦大枣汤%普罗帕酮
更年期心律失常%甘麥大棘湯%普囉帕酮
경년기심률실상%감맥대조탕%보라파동
Menopause arrhythmia%Ganmai Dazao Decoction%Propafenone
目的：探讨甘麦大枣汤加减辅以普罗帕酮治疗更年期心律失常的临床疗效。方法：选取我院更年期心律失常患者研究对象，采用对照研究，将患者随机分为观察组与对照组。对照组予口服普罗帕酮治疗，观察组则在对照组的基础上应用甘麦大枣汤，并随证加减。4周为一个疗程，治疗结束后，比较两组的治疗效果，探讨中西医结合治疗的临床应用价值。结果：观察组患者的显效率（63.33%）及总有效率（90.00%）明显高于对照组的显效率（36.67%）及总有效率（90.00%），差别有统计学意义（P<0.05）；而治疗后，两组均得到不同程度的改善，且观察组的改善情况明显优于对照组，差别有统计意义（P<0.05）。结论：甘麦大枣汤加减辅以普罗帕酮的中西医结合治疗方式对于更年期心律失常疗效显著，效果明显优于单纯西药治疗，值得进一步推广应用。
目的：探討甘麥大棘湯加減輔以普囉帕酮治療更年期心律失常的臨床療效。方法：選取我院更年期心律失常患者研究對象，採用對照研究，將患者隨機分為觀察組與對照組。對照組予口服普囉帕酮治療，觀察組則在對照組的基礎上應用甘麥大棘湯，併隨證加減。4週為一箇療程，治療結束後，比較兩組的治療效果，探討中西醫結閤治療的臨床應用價值。結果：觀察組患者的顯效率（63.33%）及總有效率（90.00%）明顯高于對照組的顯效率（36.67%）及總有效率（90.00%），差彆有統計學意義（P<0.05）；而治療後，兩組均得到不同程度的改善，且觀察組的改善情況明顯優于對照組，差彆有統計意義（P<0.05）。結論：甘麥大棘湯加減輔以普囉帕酮的中西醫結閤治療方式對于更年期心律失常療效顯著，效果明顯優于單純西藥治療，值得進一步推廣應用。
목적：탐토감맥대조탕가감보이보라파동치료경년기심률실상적림상료효。방법：선취아원경년기심률실상환자연구대상，채용대조연구，장환자수궤분위관찰조여대조조。대조조여구복보라파동치료，관찰조칙재대조조적기출상응용감맥대조탕，병수증가감。4주위일개료정，치료결속후，비교량조적치료효과，탐토중서의결합치료적림상응용개치。결과：관찰조환자적현효솔（63.33%）급총유효솔（90.00%）명현고우대조조적현효솔（36.67%）급총유효솔（90.00%），차별유통계학의의（P<0.05）；이치료후，량조균득도불동정도적개선，차관찰조적개선정황명현우우대조조，차별유통계의의（P<0.05）。결론：감맥대조탕가감보이보라파동적중서의결합치료방식대우경년기심률실상료효현저，효과명현우우단순서약치료，치득진일보추엄응용。
Objective:To investigate the clinical efficacy of Ganmai Dazao decoction combined with propafenone in the treatment of menopause arrhythmia. Methods:Ninety cases of menopause arrhythmia in our hospital as the research objects were randomized into a observation group and a control group. The patients in the control group were taken oral propafenone, while the patients in the observation group were taken ingredient-altered Ganmai Dazao decoction according to personal situation on the basis of the therapy for the control group. Four weeks were a course. After the treatment, the therapeutic effects of the two groups were compared to explore the clinical value of integrative medicine. Results The significant effective rate ( 63.33%) and total effective rate ( 90.00%) of the observation group were significantly higher than those of the control group whose significant effective rate was 36.67%and total efficiency rate was 90.00% , the difference was statistically significant (P<0.05);After treatment , both groups were improved to varying degrees. The improvement of the observation group was better than that of the control group,and the difference was statistically significant (P<0.05).Conclusion:The therapy method of ingredient-altered Ganmai Dazao decoction combined with propafenone can make significant clinical efficacy which is better than western medicine alone and worthy of further promotion.
