中西医结合治疗扩张型心肌病合并心律失常临床疗效分析.docVIP

中西医结合治疗扩张型心肌病合并心律失常临床疗效分析[摘要] 目的：探讨中西医结合治疗扩张型心肌病合并心律失常的方法和疗效。方法：将74例扩张型心肌病合并心律失常病例随机分为对照组和治疗组，对照组常规西药治疗，治疗组在对照组的基础上加用中药治疗。结果：治疗组有效率明显优于对照组，两组比较，差异有统计学意义（χ2=5.23，P＜0.05）；治疗组在心脏形态指标和心脏功能指标治疗前后有明显变化，治疗前后比较，差异有统计学意义（P＜0.05）。对照组各指标治疗前后无明显变化，差异无统计学意义（P＞0.05）。结论：中西医结合治疗扩张型心肌病合并心律失常疗效好，副作用少，值得临床推广。 [关键词] 中西医结合；扩张型心肌病；心律失常 [中图分类号] R542.2 [文献标识码]Ａ [文章编号]1673-7210（2010）11（b）-040-02 Efficacy of Traditional Chinese Medicine and Western Medicine in treatment of expanding myocardiopathy combined arrhythmia DONG Jianlin (The Second Hospital of Changde Professional Technology Institute, Hu′nan Province, Changde 415000, China) [Abstract] Objective: To explore the efficacy and method of Traditional Chinese Medicine and Western Medicine in treatment of expanding myocardiopathy combined arrhythmia. Methods: 74 cases of patients with expanding myocardiopathy combined arrhythmia were divided into control group and treatment group, conventional western medicine was used in the control group, and Traditional Chinese Medicine was added in the treatment group based on the control group. Results: The effective rate of the treatment group was significantly better than that of the control group (χ2=5.23, P＜0.05). In the treatment group, indicators of cardiac morphology and cardiac function parameters significantly changed before and after treatment, the difference was statistically significant (P0.05). Conclusion: Combination treatment of expanding myocardiopathy combined arrhythmia is effective, less side effects, and worthy of promotion. [Key words] Combination of Traditional Chinese Medicine and Western Medicine; Expanding myocardiopathy; Arrhythmia 扩张型心肌病是一种原因不明的心肌病，主要是以是心脏扩大，特别是左心室扩大和左心室收缩功能降低为特征，是心律失常发生率最高的心脏疾病，心律失常是增加DCM晚期死亡的重要原因，临床尚无特效治疗方法。本文中笔者探讨了中西医结合治疗扩张型心肌病合并心律失常患者的疗效，现将结果报道如下： 1 资料与方法 1.1一般资料 我院2007年1月～2009年1月收治扩张型心肌病住院患者95例，检出心律失常74例。将74例病例随机分为两组，对照组37例，其中，男27例，女10例；年龄33～55岁，平均（46.4±5.4）岁。治疗组37例，其中，男23例，女14例；年龄31～52岁，平均（45.1±3.9）岁。 DCM临床诊断符合WHO/I