医学综述
醫學綜述
의학종술
Medical Recapitulate
2015年
17期
3239-3241
,共3页
阵发性心房颤动%针刺%稳心颗粒
陣髮性心房顫動%針刺%穩心顆粒
진발성심방전동%침자%은심과립
Paroxysmal atrial fibrillation%Acupuncture%Wenxinkeli
目的：探讨针刺联合稳心颗粒在阵发性心房颤动(房颤)治疗中的临床价值。方法选择2013年5月至2014年5月在张家口市建设职工医院接受治疗的108例阵发性房颤患者作为研究对象,依据随机数字表法分为两组,各54例。对照组接受稳心颗粒治疗,每次9 g,每日3次,连续服用2周；观察组接受针刺联合稳心颗粒治疗。比较两组患者的心室率、转复情况、P波改变及血液指标等差异。结果观察组治疗后的心室率显著低于对照组[(72±4)次/min比(90±7)次/min],转复时间显著短于对照组[(3．2±0．7) h比(6．9±1．0) h],转复率显著高于对照组(94．4%比70．4%),差异均有统计学意义(均P<0．01)；观察组治疗后的最大P波时限、最小P波时限、P波离散度均显著低于对照组[(100±7) ms比(111±8) ms、(63±5) ms比(71±6) ms、(31±3) ms比(42±6) ms],差异均有统计学意义(均P<0．01)；观察组治疗后外周血C反应蛋白、脑钠肽、大内皮素1水平均低于对照组[(0．83±0．14) g/L 比(1．23±0．41) g/L、(17．45±3．08) ng/L 比(27．78±5．11) ng/L、(2．35±0．43) pmol/L比(3．12±0．57) pmol/L],差异均有统计学意义(均P<0．01)。结论针刺联合稳心颗粒治疗阵发性房颤有助于增加心率转复率、降低心室率,在减小P波离散度的同时优化患者体液水平。
目的：探討針刺聯閤穩心顆粒在陣髮性心房顫動(房顫)治療中的臨床價值。方法選擇2013年5月至2014年5月在張傢口市建設職工醫院接受治療的108例陣髮性房顫患者作為研究對象,依據隨機數字錶法分為兩組,各54例。對照組接受穩心顆粒治療,每次9 g,每日3次,連續服用2週；觀察組接受針刺聯閤穩心顆粒治療。比較兩組患者的心室率、轉複情況、P波改變及血液指標等差異。結果觀察組治療後的心室率顯著低于對照組[(72±4)次/min比(90±7)次/min],轉複時間顯著短于對照組[(3．2±0．7) h比(6．9±1．0) h],轉複率顯著高于對照組(94．4%比70．4%),差異均有統計學意義(均P<0．01)；觀察組治療後的最大P波時限、最小P波時限、P波離散度均顯著低于對照組[(100±7) ms比(111±8) ms、(63±5) ms比(71±6) ms、(31±3) ms比(42±6) ms],差異均有統計學意義(均P<0．01)；觀察組治療後外週血C反應蛋白、腦鈉肽、大內皮素1水平均低于對照組[(0．83±0．14) g/L 比(1．23±0．41) g/L、(17．45±3．08) ng/L 比(27．78±5．11) ng/L、(2．35±0．43) pmol/L比(3．12±0．57) pmol/L],差異均有統計學意義(均P<0．01)。結論針刺聯閤穩心顆粒治療陣髮性房顫有助于增加心率轉複率、降低心室率,在減小P波離散度的同時優化患者體液水平。
목적：탐토침자연합은심과립재진발성심방전동(방전)치료중적림상개치。방법선택2013년5월지2014년5월재장가구시건설직공의원접수치료적108례진발성방전환자작위연구대상,의거수궤수자표법분위량조,각54례。대조조접수은심과립치료,매차9 g,매일3차,련속복용2주；관찰조접수침자연합은심과립치료。비교량조환자적심실솔、전복정황、P파개변급혈액지표등차이。결과관찰조치료후적심실솔현저저우대조조[(72±4)차/min비(90±7)차/min],전복시간현저단우대조조[(3．2±0．7) h비(6．9±1．0) h],전복솔현저고우대조조(94．4%비70．4%),차이균유통계학의의(균P<0．01)；관찰조치료후적최대P파시한、최소P파시한、P파리산도균현저저우대조조[(100±7) ms비(111±8) ms、(63±5) ms비(71±6) ms、(31±3) ms비(42±6) ms],차이균유통계학의의(균P<0．01)；관찰조치료후외주혈C반응단백、뇌납태、대내피소1수평균저우대조조[(0．83±0．14) g/L 비(1．23±0．41) g/L、(17．45±3．08) ng/L 비(27．78±5．11) ng/L、(2．35±0．43) pmol/L비(3．12±0．57) pmol/L],차이균유통계학의의(균P<0．01)。결론침자연합은심과립치료진발성방전유조우증가심솔전복솔、강저심실솔,재감소P파리산도적동시우화환자체액수평。
Objective To analyze the effect of acupuncture combined with Wenxinkeli on patients with paroxysmal atrial fibrillation. Methods A total of 108 patients with paroxysmal atrial fibrillation admitted to Zhangjiakou Construction Workers′Hospital from May 2013 to May 2014 were selected as research objects. The patients were randomly divide into two groups,with 54 cases in each group. Control group was treated with Wenxinkeli,9 g at a time,3 times per day,for 2 weeks;observation group was treated with acupuncture combined with Wenxinkeli. Ventricular rate,cardioversion case,P-wave changes,blood indicators of the two groups were compared. Results After treatment,ventricular rate of the observation group was significantly lower than the control group[(72 ±4) times/min vs (90 ±7) times/min],cardioversion time was signifi-cantly shorter than the control group[(3.2 ±0.7) h vs (6.9 ±1.0) h],and cardioversion rate was signifi-cantly higher than the control group(94. 4% vs 70. 4%),the differences were statistically significant(P<0. 01). After treatment,Pmax,Pmin and Pd values of the observation group were significantly lower than the control group[(100 ±7) ms vs (111 ± 8) ms,(63 ± 5) ms vs (71 ± 6) ms,(31 ± 3) ms vs (42 ± 6) ms],the differences were statistically significant(P<0. 01). After treatment,CRP,BNP and EP1 levels of the observation group were lower than the control group[(0. 83 ± 0. 14) g/L vs (1. 23 ± 0. 41) g/L, (17.45±3.08) ng/Lvs(27.78±5.11) ng/L,(2.35±0.43) pmol/Lvs(3.12±0.57) pmol/L],the differences were statistically significant(P<0. 01). Conclusion Acupuncture combined with Wenxinkeli therapy helps to increase heart rate,lower ventricular rate,reduce the P-wave dispersion value while optimi-zing the body fluid levels of the patients.
