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三七总皂苷联合胺碘酮对阵发性房颤左心房内径和心锚重复蛋白的影响
匡荣仁1, 原丽萍2, 贺献芝3, 张忠1
1.深圳市中医院, 深圳 518033;2.广东省深圳市龙岗中心医院, 深圳 518116;3.广东省珠海市人民医院, 珠海 519000
摘要:
[目的]探讨三七总皂苷(PNS)联用胺碘酮对阵发性房颤(PAF)患者左心房内径(LAD)和心锚重复蛋白(CARP)的影响。[方法]将70例PAF患者随机分为治疗组35例(PNS联用胺碘酮)与对照组35例(单用胺碘酮)。随访6个月,观察复发情况、测定治疗前及治疗6个月后LAD及CARP水平。[结果]在治疗6个月后,治疗组窦性心律维持率显著高于对照组(P<0.05);治疗组LAD明显低于对照组(P<0.05);治疗组CARP水平明显低于对照组(P<0.05)。[结论]PNS联用胺碘酮较单用胺碘酮可明显减少房颤复发,降低PAF患者LAD和CARP水平。
关键词:  三七总皂苷  胺碘酮  阵发性心房颤动  左心房内径  心锚重复蛋白
DOI:10.11656/j.issn.1672-1519.2018.08.04
分类号:R541
基金项目:深圳市龙岗区科技计划医疗卫生项目(YS2013100);深圳市三名工程-中国医学科学院阜外医院心血管病张建团队。
Effect of panax notoginsenosides plus amiodarone on left atrial diameter and cardiac ankyrin repeat protein in patients with paroxysmal atrial fibrillation
KUANG Rongren1, YUAN Liping2, HE Xianzhi3, ZHANG Zhong1
1.Shenzhen Tiaditional Chinese Medicine Hospital, Shenzhen 518033, China;2.Longgang Central Hospital of Guangdong Province, Shenzhen 518116, China;3.The People's Hospital of Guangdong Zhuhai, Zhuhai 519000, China
Abstract:
[Objective] To discuss the effect of panax notoginsenosides (PNS) or plus amiodarone on left atrial diameter (LAD) and cardiac ankyrin repeat protein(CARP) in patients with paroxysmal atrial fibrillation(PAF).[Methods] Seventy PAF patients were randomized into PNS plus amiodarone group (35 cases) and amiodarone group (35 cases). The rate of sinus rhythm maintenance, LAD and CARP were observed within 6 months of follow-up.[Results] It's demonstrated that the rate of sinus rhythm maintenance in PNS plus amiodarone group was significantly higher than that in amiodarone group (P<0.05). LAD in PNS plus amiodarone group was significantly lower than that in amiodarone group (P<0.05). CRAP in PNS plus amiodarone group was significantly lower than that in amiodarone group (P<0.05).[Conclusion] Compared to amiodarone alone, PNS plus amiodarone can significantly reduce AF recurrence, LAD and CARP in PAF patients.
Key words:  panax notoginsenosides  amiodarone  paroxysmal atrial fibrillation  left atrial diameter  cardiac ankyrin repeat protein
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