养心归草汤联合美托洛尔治疗心房纤颤75例疗效观察(1)
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摘要：目的 观察养心归草汤联合美托洛尔治疗心房纤颤的临床疗效。方法 选择心房纤颤住院患者228例，其中采用养心归草汤治疗组(A组)80例，美托洛尔治疗组(B组)73例，养心归草汤联合美托洛尔治疗组(C组)75例。观察出院前临床症状、动态心电图、心房纤颤发生情况及心室率的变化。结果 临床症状疗效总有效率，A组为95.0%，B组为91.8%，C组为98.7%；心电图改善总有效率，A组为93.7%，B组为90.4%，C组为97.3%。A组与B组比较差异无统计学意义(P>0.05)，C组与B组比较差异有统计学意义(P<0.05)。结论 养心归草汤联合美托洛尔治疗心房纤颤具有较好的疗效。
关键词：养心归草汤；美托洛尔；心房纤颤
中图分类号：R541.7 R289.5 文献标识码：B 文章编号：16721349(2012)08091802
Effects of Yangxin Guicao Decoction and Metoprolol for Treatment of Auricular Fibrillations
Yin Jianming，Luo Luyi // Shenzhen Hospital of Traditional Chinese Medicine(Shenzhen 518033)
Abstract：Objective To analyze the therapeutic effects of Yangxin Guicao decoction and metoprolol on auricular fibrillation.Methods Two hundreds and twentyeighty patients with auricular fibrillation were divided into three groups:A group (n＝80) was treated by Yangxin Guicao decoction，B group (n＝73) was treated by metoprolol，C group (n＝75) was treated by Yangxin Guicao decoction combined with metoprolol.The clinical symptoms，ambulatory electrocardiogram，attack of auricular fibrillation and ventricular rate were observed.Results The total effective rate of clinical symptoms in A group，B group and C group was 95.0%，91.8%，and 98.7%.The total effective rate of electrocardiogram improvement in A group，B group and C group was 93.7%，90.4%，and 97.3%.The therapeutic effects in A and B group had no significant difference(P>0.05).There was significant difference between C and B group (P<0.05).Conclusion Yangxin Guicao decoction combined with metoprolol had therapeutic effects on auricular fibrillation.
Key words:Yangxin Guicao decoction；metoprolol；auricular fibrillation
心房纤颤是一种临床最常见的心律失常，心房纤颤患者病死率比正常人高出2倍以上，随着人口的老龄化，其发病率和患病率逐年升高[1]。近年来，在心房纤颤的治疗中，中西医结合治疗正在发挥着非常积极的作用 ......
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