陈峰　张顺利　李迎

【摘要】目的 观察参芪定悸汤治疗气阴两虚型室性早搏患者的疗效。方法 选择2013年2月～2015年1月我院收治的气阴两虚型室性早搏患者108例作为研究对象，将其随机分为对照组与治疗组（参芪定悸汤组），各54例。两组患者均给予胺碘酮口服，治疗组在此基础上加参芪定悸汤口服，疗程均为2周。观察两组患者治疗前后症状积分、中医证候积分、室性早搏次数变化。结果 两组疗效与治疗前比较，差异有统计学意义（P<0.05），治疗组疗效明显优于对照组，差异有统计学意义 （P<0.05）。治疗期间两组患者未发生明显的不良反应。结论 参芪定悸汤治疗气阴两虚型室性早搏疗效确切，且无明显的不良反应，值得临床推广与应用。

【关键词】室性早搏；参芪定悸汤；气阴两虚型；疗效

【中图分类号】R259 【文献标识码】B 【文章编号】ISSN.2095-6681.2015.014..03

【Abstract】Objective Observation of Shenqi clinical efficacy in patients with deficiency of both qi and Yin Ji Decoction in the treatment of premature ventricular ontractions.Methods Selection of Qi and yin deficiency type in patients with ventricular premature beats 108 cases were randomly divided into control group and treatment group， 54 cases in each， two groups of patients were given oral amiodarone， treatment group on the basis of plus Shenqi set palpitate decoction， treatment for 2 weeks. To observe the changes of the number of TCM syndromes， symptoms integral， premature ventricular contractions in two groups before and after treatment.Results Compared with before treatment， the difference between the two groups in the treatment group and the control group were significantly different （P<0.05）， the efficacy of the treatment group was significantly better than the control group， the difference was statistically significant （P<0.05）. There were no obvious adverse reactions in the two groups of patients during the treatment.Conclusion Shenqi set palpitate decoction treating qi and yin deficiency type of ventricular premature beat curative effect， and no obvious adverse reactions， can be popularized in clinical application.

【Key words】Ventricular extrasystole； Shenqi Dingji Decoction； Qi Yin deficiency；Curative effect

室性早搏屬于中医学“心悸”的范畴，其病位在心，病机纷繁复杂，多与外邪入侵、药物毒害、情志失调、饮食不节、劳倦内伤、禀赋不足、久病失养等因素有关。中医学认为本病为本虚标实证：本虚包括气血阴阳亏虚，标实有血瘀、气滞、寒凝、痰浊等，故治疗上多用扶正、行气、活血、化痰等治法。此病病程一般较长，久病多虚，出现以气阴两虚为主，兼有心血瘀阻之象。故治疗以益气养阴，理气活血为法，本人结合中医药理论、前人经验及自身临床体会，依照中医学组方原则，精选药物党参、黄芪、麦冬、五味子、茯神、远志、酸枣仁、丹参、川芎9味组方为参芪定悸汤，临床上用于治疗气阴两虚型室性早搏患者，取得较好的疗效，现报道如下。

1 资料与方法

1.1 一般资料

选取2013年2月～2015年1月我院收治的室性早搏患者108例作为研究对象，将其随机分为治疗组和对照组，各54例。两组患者一般资料比较，差异无统计学意义（P>0.05）。