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1、【摘要】目的:观察稳心颗粒与比索洛尔联用治疗老年冠心病室性早搏的疗效。方法:95例老年冠心病患者被随机分为稳心颗粒加比索洛尔组(A组,36例)、比索洛尔组(B组,31例)、稳心颗粒组(C组,28例),观察治疗前后临床症状和心律失常改善情况及不良反应。结果:治疗前后动态心电图观察对比:A组总有效率为91.67%(33例),显著高于B组的70.97%(22例),C组的71.43%(20例),P均<0.05,B组的总有效率与C组的比较无显著性差异(P>0.05);治疗后临床症状改善情况:A组(94.44%)显著高于B组(77.42%)、C
2、组(78.57%),P均<0.05;B组的与C组的比较则无显著性差异(P>0.05)。结论:稳心颗粒与比索洛尔联用治疗老年冠心病室性早搏的疗效明显优于各自单用的疗效。【关键词】比索洛尔;冠状动脉疾病;心律失常 TherapeuticeffectofWenxingranulecombinedwithbisoprololonventricularprematurebeatinagedpatientswithcoronaryheartdisease/PANYongdong,JIANGBo,WANGShuqing//Department
3、ofCardiology,TheFirstPeople′sHospitalofQiqihaerCity,Qiqihaer,Heilongjiang,161000,China Abstract:Objective:ExploretheeffectofWenxingranulecombinedwithbisoprololonventricularprematurebeat(VPB)inagedpatientswithcoronaryheartdisease(CHD).Methods:The95agedCHDpatientswithVP
4、Bwererandomlydividedinto3groups:WenxinGranule+bisoprololgroup(groupA,36cases),bisoprololgroup(groupB,31cases),andWenxingranulegroup(groupC,28cases).TheclinicalsymptomsandVPBbeforeandafterwereobserved.Results:ComparedwithHoltermonitoringelectrocardiogrambeforeandaftersh
5、owedthatthetotaleffectiverateofgroupA,was91.67%(33cases),itwassignificantlymorethanthatofgroupB(70.97%,22cases)andgroupC(20cases,71.43%),P<0.05all,buttherewasnosignificantdifferencebetweengroupBandgroupC(P>0.05).Aftertreatment,theimprovementofclinicalsymptomsofgroupAwa
6、s94.44%,itwasalsosignificantlymorethanthatofgroupB(77.42%)andgroupC(78.57%),P<0.05all,buttherewasalsonosignificantdifferencebetweengroupBandgroupC(P>0.05).Conclusion:TheeffectiverateofWenxingranulecombinewithbisoprololissignificantlybetterthanthoseoftheiraloneinagedpat
7、ientswithcoronaryheartdiseaseandventricularprematurebeat. Keywords:Bisoprolol;Coronaryarterydisease;Arrhythmia 室性心律失常是临床非常常见的心律失常,尤其易发于冠心病心肌缺血患者,轻者可引起心悸、胸闷、焦虑等不适,严重者可引起血流动力学改变,甚至诱发猝死。有效、安全地治疗室性心律失常,不但可缓解患者的临床症状,提高其生活质量,并且能降低恶性室性心律失常引起的猝死率,延长患者的寿命。稳心颗粒是一种纯中药制剂,具有抗心律失常
8、、改善心肌供血、逆转心肌肥厚等作用[1,2]。目前抗心律失常药存在一些不足,故寻找疗效好,且毒副作用少,长期使用不增加病死率的抗心律失常药是国内外长期以来研究的重点。本研究采用稳心颗粒与比索洛尔联用和两者单用作对照,探讨稳心颗粒与比索