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目的:观察常规加参松养心胶囊治疗老年心房颤动的效果。方法:选择老年阵发性心房颤动102例,随机分为对照组和观察组各51例。对照组采用美托洛尔、阿司匹林、普罗帕酮或胺碘酮等常规治疗;观察组在此基础上加用参松养心胶囊,每次2～4粒,每天3或4次。8周为1个疗程,比较两组治疗1、2个疗程后窦性心律维持率和房颤发作情况。结果:第1个疗程及第2个疗程结束后,观察组窦性心律维持率分别为88.0%、92.0%,均显著或非常显著高于对照组(P<0.05,P<0.01);第1个疗程及第2个疗程中,观察组房颤发作次数均显著或非常显著少于对照组(P<0.05,P<0.01)。结论:常规治疗加用参松养心胶囊可显著提高老年房颤窦性心律维持率,减少房颤发作次数。
Objective: To observe the effect of traditional Chinese medicine plus Shensongyangxin capsule on senile atrial fibrillation. Methods: A total of 102 elderly patients with paroxysmal atrial fibrillation were randomly divided into control group and observation group of 51 cases. The control group received metoprolol, aspirin, propafenone or amiodarone and other conventional treatment; observation group on this basis with the Shensong Yang Xin Capsule, each 2 to 4, 3 or 4 times a day. 8 weeks for a course of treatment, two courses of treatment of 1,2 after treatment of sinus rhythm maintenance and atrial fibrillation episodes. Results: After the first course and the second course of treatment, the maintenance rate of sinus rhythm in the observation group was 88.0% and 92.0% respectively, which were significantly or very significantly higher than those in the control group (P <0.05, P <0.01) During the course of treatment and the second course of treatment, the frequency of atrial fibrillation in the observation group was significantly or very significantly less than that in the control group (P <0.05, P <0.01). Conclusion: The conventional treatment combined with Shensong Yangxin Capsule can significantly improve the maintenance rate of sinus rhythm in elderly patients with atrial fibrillation and reduce the frequency of atrial fibrillation.