摘要
目的：分析老年缺血性心律失常患者行步长稳心颗粒联合美托洛尔治疗的路径及效果.方法：选取我院心内科2014年9月～ 2015年11月期间收治的94例老年缺血性心律失常患者作为临床治疗对象,采用随机数字分组法将94例患者均分为观察组与对照组两组.对照组47例患者单纯给予美托洛尔药物治疗,观察组47例患者于对照组治疗基础上联用中药稳心颗粒治疗,综合对比两组患者临床疗效及预后康复指标差异.结果：经不同药物方案治疗后,观察组临床治疗总有效率达95.75％,对照组临床治疗总有效率为80.86％,组间差异显著（P＜0.05）;经2个疗程治疗后,观察组日均室性早搏及室上性早搏发生次数明显低于对照组,组间差异对比,P ＜0.05,具有统计学意义;且治疗前后两组患者的心电图指标改善情况对比,观察组患者QT间期（QTc）相比对照组患者改善程度明显较高,组间差异对比,P＜0.05,具有统计学意义.结论：针对老年缺血性心律失常患者采用稳心颗粒联合美托洛尔药物治疗方案,具有确切的临床疗效,可显著改善患者心律失常症状,值得临床综合应用推广.
OBJECTIVE： To study the effect of metacentric particles combined with metoprolol in the treatment of ischemic ar- rhythmias in the elderly. METHODS： From September 2014 to November 2015 94 elderly patients with ischemic arrhythmias were col- lected. 94 patients were divided into observation group （n = 47 ） and control group （n = 47 ） in the two groups. Control group was treated by metoprolol. Observation group received control group treatment combined with traditional Chinese medicine （TCM） step metacentric particles. The effect and prognosis in two groups were compared. RESULTS： After treatment in observation group the to- tal effective rate was 95.75% and in control group the total effective rate was 80. 86%. There was significant difference （P 〈0. 05）. After two courses of treatment in the observation group daily occurrence of ventricular premature beat and chamber on the number of premature beat were significantly lower than those in the control group. There was statistically significant difference （ P 〈 0. 05 ）. In the observation group QT interphase （QTc） improvement was significantly higher than that in the control group. There was statistically significance difference （ P 〈 0. 05 ）. CONCLUSION ： Metacentre grain combined with metoprolol drug treatment can significantly im- prove cardiac arrhythmias in the elderly patients with ischemie arrhythmias and reduce the adverse reactions.
出处
《国际老年医学杂志》
2016年第3期107-109,113,共4页
International Journal of Geriatrics
基金
湖北省科技技术厅科研项目（EK070748）
关键词
缺血性心律失常
美托洛尔
稳心颗粒
疗效
Ischemic arrhythmias
Metoprolol
Metacentric particles
Curative effect
