中医药治疗室性期前收缩

Chinese Medicine Treatment of Premature Ventricular Contractions

摘要: 室性期前收缩是临床常见的心律失常之一，合并器质性心脏病时发生心血管不良事件的风险就会明显提升。西医常规治疗虽能控制心律，但在长期应用下易产生耐药性及脏器毒性，相比之下，中医药治疗有着独特的优势。中医认为室性期前收缩属本虚标实之证，核心病机为气血阴阳失调、痰瘀内扰，治疗应该遵循补虚泻实、辨证论治的原则。本文将中医药在临床应用上所具有的优势以及存在的问题进行了归纳，指出目前研究存在设计不规范、机制阐释不深入等不足，后续仍需加强循证研究，优化治疗模式，进一步提升中医药的临床应用价值。

Abstract: Ventricular premature contraction is one of the common clinical arrhythmias, and the risk of cardiovascular adverse events will be significantly increased when combined with organic heart disease. Although conventional western medicine treatment can control heart rhythm, it is easy to produce drug resistance and organ toxicity under long-term application. In contrast, traditional Chinese medicine treatment has unique advantages. Traditional Chinese medicine believes that ventricular premature contraction belongs to the syndrome of deficiency in origin and excess in superficiality. The core pathogenesis is the imbalance of qi, blood, yin and yang, and internal disturbance of phlegm and blood stasis. The treatment should follow the principles of tonifying deficiency and reducing excess, and syndrome differentiation and treatment. This paper summarizes the advantages and existing problems of traditional Chinese medicine in clinical application, and points out that there are some shortcomings in the current research, such as non-standard design and lack of in-depth mechanism interpretation. In the future, it is still necessary to strengthen evidence-based research, optimize the treatment mode, and further enhance the clinical application value of traditional Chinese medicine.