CAJ | 학술논문

目的：观察松参养心胶囊联合倍他乐克治疗妇女功能性室性早搏的疗效。方法选择2011年1月至2012年12月我院收治的62例功能性室性早搏患者为研究对象,采用随机数字表法随机分为对照组和实验组,分别予以倍他乐克治疗及松参养心胶囊联合倍他乐克治疗,比较两组的疗效、24 h动态心电图早搏次数、Tpe及Tpe离散度的变化情况和不良反应情况。结果实验组总有效率96．77%,对照组总有效率87．10%,两组比较差异有统计学意义(χ2=4．674,P=0．031)。两组治疗后早搏次数均较治疗前明显减少(P<0．01)。实验组治疗后早搏次数明显低于对照组,两组比较差异有统计学意义(t=15．463,P=0．000)。两组治疗后Tpe及Tpe离散度较治疗前均有不同程度缩短(P<0．01)。实验组治疗后Tpe及Tpe离散度值均明显低于对照组,两组比较差异有统计学意义(t=2．167,2．123,P=0．034,0．038)。两组不良反应的发生率比较差异无统计学意义(χ2=0．218,P=0．641)。结论松参养心胶囊联合倍他乐克治疗妇女功能性室性早搏具有较好的临床疗效,不良反应小,可明显降低Tpe离散度。
목적：관찰송삼양심효낭연합배타악극치료부녀공능성실성조박적료효。방법선택2011년1월지2012년12월아원수치적62례공능성실성조박환자위연구대상,채용수궤수자표법수궤분위대조조화실험조,분별여이배타악극치료급송삼양심효낭연합배타악극치료,비교량조적료효、24 h동태심전도조박차수、Tpe급Tpe리산도적변화정황화불량반응정황。결과실험조총유효솔96．77%,대조조총유효솔87．10%,량조비교차이유통계학의의(χ2=4．674,P=0．031)。량조치료후조박차수균교치료전명현감소(P<0．01)。실험조치료후조박차수명현저우대조조,량조비교차이유통계학의의(t=15．463,P=0．000)。량조치료후Tpe급Tpe리산도교치료전균유불동정도축단(P<0．01)。실험조치료후Tpe급Tpe리산도치균명현저우대조조,량조비교차이유통계학의의(t=2．167,2．123,P=0．034,0．038)。량조불량반응적발생솔비교차이무통계학의의(χ2=0．218,P=0．641)。결론송삼양심효낭연합배타악극치료부녀공능성실성조박구유교호적림상료효,불량반응소,가명현강저Tpe리산도。
Objective To study the efficacy of Shensong Yangxin capsule combined with betaloc on women with function ventricular premature beats. Methods 62 cases of patients with function ventricular premature beats from January 2011 to December 2013 were randomly divided into control group and experimental group. The two groups were treated with betaloc alone and Shensong Yangxin capsule combined betaloc respectively,then the total efficacy, dynamic ECG premature beats number in 24 h,Tpe and its dispersion changes of the two groups were compared. Re-sults The total effective rate of experimental group was 96. 77%,the control group was 87. 10%,χ2 =4. 674,P =0. 031. Premature beats number of the two groups reduced significantly after treatment(P<0. 01),of which the experi-mental group was lower than control group,t=15. 463,P=0. 000. Tpe and its dispersion changes of the two groups re-duced significantly after treatment ( P <0. 01 ) , of which the experimental group was lower than control group, t =2. 167,2. 123,P=0. 034,0. 038. The adverse reaction incidence of the two groups showed no significant difference,χ2=0. 218,P=0. 641. Conclusion For the treatment of function ventricular premature beats of women,Shensong Yan-gxin capsule combined with betaloc not only has good curative effect,but also has fewer adverse reactions,reduce dis-persion changes of Tpe significantly and has possitive effect on the prognosis.