|
|
|
| Clinical effect of traditional Chinese medicine extended nursing combined with Kushenfulv Decoction in the treatment of functional premature beat and heart rate variability |
| ZHU Yan CHEN Min |
| Department of Geriatrics, the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Liaoning Province, Shenyang 100032, China |
|
|
|
Abstract Objective To explore the clinical effect of traditional Chinese medicine extended nursing combined with Kushenfulv Decoction on functional premature beats and heart rate variability. Methods A total of 122 cases of functional ventricular premature beats diagnosed and treated in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from March 2017 to July 2019 were selected and they were divided into control group (61 cases) and combination group (61cases) according to the random number table method. The control group adopted traditional Chinese medicine extended nursing. The combination group was treated with traditional Chinese medicine extended nursing combined with Kushenfulv Decoction for one course of treatment for four weeks. The clinical efficacy of the two groups was compared. Standard deviation (SDNN), SDNN index (SDNN index), root mean square (RMSSD) of adjacent RR interval difference, percentage of adjacent R-R interval difference of 50 ms (PNN50), low frequency (LF) and high frequency (HF) parameters were recorded before and after intervention, respectively. Results The effective rate of the combination group was higher than that of the control group (P ＜ 0.05). Time domain analysis indexes (SDNN, SDNN index, RMSSD, PNN50) of the two groups were increased after intervention (P ＜ 0.05), and the combination group was higher than the control group (P ＜ 0.05). After intervention, HF and LF in the two groups were higher than those before intervention, and LF/HF was lower than that before intervention (P ＜ 0.05), HF and LF in the combination group were higher than those in the control group (P ＜ 0.05). Conclusion Traditional Chinese medicine extended nursing combined with Kushenfulv Decoction has obvious curative effect on functional premature beats, which can improve heart rate variability, reduce the frequency of attack, and has high safety.
|
|
|
|
|
|
[1] 张临宁，刘春玲.中西医结合治疗室性早搏研究进展[J].中西医结合心血管病电子杂志，2019，7（15）：6-8.
[2] 丁超，张松文.功能性及器质性室性早搏的动态心电图特性分析[J].当代临床医刊，2018，31（1）：3651-3653.
[3] 陈靖，王素梅.益气宁心汤联合比索洛尔对冠心病室性早搏患者心功能和自主神经功能的影响[J].四川中医，2018，36（6）：92-94.
[4] 吴丽萍，范诗曼.中医延伸护理在提高冠心病患者自我管理能力中的作用[J].护理实践与研究，2018，15（12）：149-150.
[5] 易文慧，白洋，冯志博，等.室性早搏的中医治疗现状及展望[J].中西医结合心脑血管病杂志，2017，15（6）：689-691.
[6] 崔俊英.炙甘草汤加减联合西药对良性室性早搏患者心电图改善作用[J].中医药临床杂志，2016，28（4）：516-518.
[7] 郑筱萸.中药新药临床研究指导原则（试行）[M].北京：中国医药科技出版社，2002：295.
[8] 杨淑，尹晓盟，常栋，等.不同昼夜节律流出道室性早搏患者自主神经活性的变化[J].中华心律失常学杂志，2016， 20（6）：490-494，508.
[9] 罗霏霏，张雨薇，刘平，等.室性早搏性心肌病的相关危险因素分析[J].内科急危重症杂志，2018，24（2）：129-131.
[10] 谭洪勇，尉希清，张洪生，等.不同起源部位的室性早搏对心脏结构及功能的影响[J].中国医师杂志，2017，19（11）：1715-1717.
[11] 郑婉群，姜虹，余晓琪.益心定悸方辅治室性早搏疗效及对左心室功能和心率变异性的影响[J].四川中医，2019，37（3）：83-86.
[12] 徐海荣，段永强，梁玉杰，等.李东垣从脾胃论养生摄生思想探析[J].中医药导报，2015，21（10）：3-4.
[13] 袁雯，沈燕，张雅丽.中医延伸护理服务对提高冠心病患者自我管理能力的调查[J].中国医药导刊，2016，18（4）：414-415.
[14] 黎会明，刘玲，焕林.吴焕林从五脏相关治疗功能性室性早搏经验[J].山东中医杂志，2019，38（1）：63-65.
[15] 马文欣，冯晓敬.清火安神法治疗功能性早搏[J].中医杂志，2018，59（22）：1968-1969.
[16] 蓝少钰.归脾汤联合西药治疗心脾两虚型室性早搏的疗效及对心电图指标的影响[J].四川中医，2019（5）：80-83.
[17] 郑一，刘清心，于睿.于睿妙用古方化裁治疗室性早搏经验撷萃[J].辽宁中医杂志2017，44（3）：481-483.
[18] 侯艳杰，李娜.心率变异性在冠心病患者和冠心病合并高血压患者中应用价值的比较[J].临床和实验医学杂志，2016，15（4）：294-296.
[19] 宋燕娟，梁凤霞.针灸对心率变异性影响的研究概述[J].针灸临床杂志，2018，34（6）：78-81.
[20] 陆松华，梁日升，宋广全.美托洛尔治疗冠心病心绞痛患者QT离散度以及心率变异性的影响[J].心脑血管病防治，2018，18（3）：241-242.
[21] 符瑜，吴少敏，曾昭凡.噻托溴铵粉吸入剂联合沙美特罗替卡松粉吸入剂对哮喘-慢性阻塞性肺疾病重叠综合征患者肺功能和睡眠质量及心率变异性的影响[J].中国医药，2019，14（9）：1331-1335.
[22] 曾湘杰，邹东媚，李亦舒，等.参附注射液对维持性血液透析患者心率变异性及炎性因子的影响分析[J].中国医药科学，2020，10（3）：234-237.
[23] 寿晓玲，王磊，朱利月，等.太极拳运动对在职高血压患者情绪及心率变异性的影响[J].中国现代医生，2018， 56（29）：95-99. |
|
|
|
