室性早搏的中西医治疗及其对窦性心率震荡的影响研究

Study on the Treatment of Ventricular Premature Beats with Chinese and Western Medicine and Its Influence on Sinus Heart Rate Turbulence

摘要: 室性早搏是临床上最常见的心律失常疾病之一，多见于心脏病患者，在健康人群中也常常见到。受年龄、性别等多重因素影响，导致病人预后不同，轻者无明显不适或表现为心悸、有“停跳感”等，重则发生猝死。因此，为提高患者生活质量，应积极控制室性早搏，预防恶性室性心律失常的发生。目前临床上西医治疗室早推荐β-受体阻滞剂或非二氢吡啶类钙离子拮抗剂等抗心律失常药物治疗以及导管消融术，但因其严格的适应症及药物毒副作用，局限性较大。近年来中医药在防治室早方面获得了广泛的应用，对于改善临床症状和提高安全性方面都具有一定的优势。本研究系统分析了近年来中西医治疗室性早搏的相关文献，为临床诊疗提供思路，并总结其对窦性心率震荡现象的影响。

Abstract: Ventricular premature beat is one of the most common arrhythmia diseases in clinic, which is more common in patients with heart disease, and is often seen in healthy people. Affected by multiple factors such as age and gender, the prognosis of patients is different, with no obvious discomfort or palpitations and “stopping feeling” in mild cases, and sudden death in severe cases. Therefore, in order to improve the quality of life of patients, ventricular premature beats should be actively controlled to prevent the occurrence of malignant ventricular arrhythmias. At present, anti-arrhythmic drugs such as β-blockers or non-dihydropyridine calcium antagonists and catheter ablation are recommended in the clinical treatment room, but their limitations are relatively large due to their strict indications and drug toxicity. In recent years, traditional Chinese medicine has been widely used in the prevention and treatment of premature diseases, which has certain advantages in improving clinical symptoms and improving safety. This study systematically analyzed the literature related to the treatment of ventricular premature beat by Chinese and Western medicine in recent years, provided ideas for clinical diagnosis and treatment, and summarized its influence on the phenomenon of sinus heart rate turbulence.