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心律失常患者应用综合中医适宜技术干预的临床观察OA

Clinical effects of integrated appropriate traditional Chinese medicine techniques in patients with arrhythmia:an observational study

中文摘要英文摘要

目的 观察综合中医适宜技术干预方案对心律失常患者的干预效果.方法 选取 2023 年 1 月至 2024 年1 月收治的 120 例心律失常患者为研究对象,按照随机数字表法分为观察组和对照组,各 60 例.对照组采取常规干预,观察组在对照组基础上加用综合中医适宜技术干预方案.比较 2 组干预前后心律失常症状(包括房室交界性早搏、房性早搏、室性早搏发生次数)、匹兹堡睡眠质量指数量表(PSQI)评分(包括日间功能、睡眠质量、安眠药物、入睡时间、睡眠障碍、睡眠时间、睡眠效率)、心功能指标(包括心脏指数、心排出量、左室射血分数)、中医证候评分变化情况,并统计 2组临床疗效.结果 观察组总有效率 96.67%(58/60),对照组总有效率 73.33%(44/60),观察组总有效率高于对照组(P<0.05).与本组干预前比较,2 组干预后室性早搏、房性早搏、房室交界性早搏发生次数均减少(P<0.05),且观察组干预后室性早搏、房性早搏、房室交界性早搏发生次数均少于对照组(P<0.05).与本组干预前比较,2 组干预后PSQI量表日间功能、睡眠质量、安眠药物、入睡时间、睡眠障碍、睡眠时间、睡眠效率评分及总分均降低(P<0.05),且观察组干预后PSQI量表各项评分及总分均低于对照组(P<0.05).与本组干预前比较,2 组干预后心功能指标左室射血分数、心排出量、心脏指数均升高(P<0.05),且观察组干预后左室射血分数、心排出量、心脏指数均高于对照组(P<0.05).与本组干预前比较,2 组干预后中医证候心悸、胸闷、胸痛、气短乏力、口干、心烦失眠评分均降低(P<0.05),且观察组干预后中医证候各项评分均低于对照组(P<0.05).结论 综合中医适宜技术干预心律失常患者疗效确切,可改善患者心律失常症状,改善心功能水平和睡眠质量,促进病情康复.

Objective To evaluate the intervention effect of integrated appropriate traditional Chinese medicine(TCM)techniques on patients with arrhythmia.Methods The study included 120 patients with arrhythmia admitted to our hospital from January 2023 to January 2024.They were randomly assigned to two groups(n=60 each,by a random number list):The control group(routine intervention)and observation group(integrated appropriate TCM techniques plus routine intervention).We compared arrhythmia symptoms(including frequency of premature a-v junctional beats,atrial premature beats,ventricular premature beats),Pittsburgh sleep quality index(PSQI)score(including daytime function,sleep quality,sleeping drugs,time of falling asleep,sleep disorder,sleep time,sleep efficiency),cardiac function index(including cardiac index,cardiac output,left ventricular ejection fraction),TCM syndrome scores and efficacy at baseline and after nursing between the two groups.Results The total effective rate of the observation group was significantly higher than that in the control group(96.67%[58/60]vs 73.33%[44/60],P<0.05).After intervention,the observation group demonstrated significant improvement across multiple measures compared both with its baseline and the control group(all P<0.05).Specifically,the numbers of premature beats in the observation group were significantly decreased;the total and dimensions scores of PSQI scale in the observation group were significantly reduced;the cardiac function indexes were significantly increased;and the TCM syndrome scores(palpitation,chest tightness,chest pain,shortness of breath,fatigue,dry mouth,irritability,and insomnia)were significantly lower.Conclusion The application of integrated appropriate TCM techniques in patients with arrhythmia can improve their clinical symptoms,arrhythmia situation,cardiac function index levels,and sleep quality,and can enhance the treatment effect.

田赛;张欣

首都医科大学附属北京积水潭医院心内科,北京 102208首都医科大学附属北京积水潭医院心内科,北京 102208

医药卫生

心律失常中医适宜技术方案睡眠质量心功能

ArrhythmiasIntegrated appropriate traditional Chinese medicine techniquesSleep qualityHeart function

《河北中医》 2026 (1)

22-26,31,6

10.3969/j.issn.1002-2619.2026.01.005

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