中西医结合治疗病毒性心肌炎32例

发布时间：2018-03-17 17:28

本文选题：心肌炎　切入点：中西医结合疗法　出处：《实用医学杂志》2009年14期 　论文类型：期刊论文

【摘要】：目的:观察银翘清心汤为主联合西药治疗病毒性心肌炎的临床疗效。方法:将符合病毒性心肌炎诊断标准的62例患者分为中西医结合组(32例)和对照组(30例),两组均以西药常规治疗,中西医结合组加用银翘清心汤(由苦参、丹参、玄参、赤芍、炙甘草、麦冬、薤白、金银花、连翘、板蓝根、川芎、大青叶等组成)治疗。10d为1个疗程,连续治疗2个疗程。疗程结束后观察临床综合疗效及主要症状疗效、心电图疗效等。结果:中西医结合组临床治愈率、总有效率分别为62.5%、90.6%,对照组分别为43.3%、76.7%,两组比较差异有统计学意义(P0.05)。治疗后两组主要症状(心悸、胸闷或胸痛、气短、乏力)均有不同程度的改善,但除乏力外,中西医结合组其他症状疗效均优于对照组(P0.05)。两组心电图均有不同程度改善,治疗组总有效率略高于对照组,但差异无统计学意义(P0.05)。结论:中西医结合治疗病毒性心肌炎能明显改善心悸、胸闷或胸痛、气短等主要症状,而且无不良反应及毒副作用,是一种有效、安全的治疗措施。
[Abstract]:Objective: to observe the clinical effect of Yinqiao Qingxin decoction combined with western medicine in the treatment of viral myocarditis. Methods: 62 patients with viral myocarditis were divided into two groups: 32 cases in combination of traditional Chinese and western medicine group and 30 cases in control group. Group A were treated with routine western medicine, The combination group was treated with Yinqiao Qingxin decoction (composed of Sophora flavescens, Salvia miltiorrhiza, Radix Centralis, Radix Rubra, Radix Glycyrrhizae, Radix Ophiopogonis, Allium macrostemon, Flos Lonicerae Lonicerae, Forsythia Forsythia, Radix Isatidis, Ligusticum chuanxiong, Radix Isatidis. Continuous treatment for two courses. After the end of the course of treatment, observe the clinical comprehensive efficacy and main symptoms, electrocardiographic efficacy, etc. Results: integrated Chinese and Western medicine group clinical cure rate, The total effective rates were 62.5% and 43.3%, respectively. The difference between the two groups was statistically significant (P 0.05). After treatment, the main symptoms (palpitations, chest tightness or chest pain, shortness of breath, fatigue) were improved to some extent, but with the exception of fatigue, there was no significant difference between the two groups. The effect of other symptoms in the treatment group was better than that in the control group (P 0.05). The electrocardiogram of the two groups was improved to some extent, and the total effective rate of the treatment group was slightly higher than that of the control group. Conclusion: the treatment of viral myocarditis with integrated Chinese and western medicine can obviously improve the main symptoms such as palpitation, chest tightness or chest pain, shortness of breath, and no side effects and side effects. It is an effective and safe treatment measure.
【作者单位】：广东省佛山市顺德边防检查站卫生队;广东省佛山市顺德区容奇医院;
【分类号】：R542.21

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