中西医结合治疗急性病毒性心肌炎临床研究

Clinical Study on the Integrated Treatment of Acute Viral Myocarditis with Western Medicine and TCM

目的 :观察中药参芪芩连解毒汤、黄芪注射液加口服西药与单纯口服西药治疗急性病毒性心肌炎 (VMC)的疗效。方法 :将 118例急性 VMC患者随机分成三组 :参芪芩连解毒汤 (治疗 组 )、黄芪注射液 (治疗 组 )、常规治疗 (对照组 )。观察各组临床疗效、心电图、心功能等改善情况。结果 :经 3周治疗后 ,总有效率 ,治疗 组 88.64% ,治疗 组 93.18% ,对照组 73.33%。心电图改善 ,治疗 组与对照组比较 ,P<0 .0 1,与治疗 组比较 ,P<0 .0 5。心功能改善 ,左室射血分数 (LVEF) ,治疗 、 组与对照组比较 P<0 .0 5,与治疗前比较 P<0 .0 5。结论 :中药参芪芩连解毒汤、黄芪注射液均为临床治疗急性病毒性心肌炎安全而有效的药物。中西医结合互相补充 ,能有效控制延缓病情恶化 ,缩短疗程 ,提高疗效 。

Objective:To explore the therapeutic efficacy of the integrated treatment on acute viral myocarditis.Methods:118 acute VMC cases were divided at random into three groups:Shen Qi Jin Lian Jie Du decoction group,Huang Qi injection group and routine treatment group so as to observe the ECG,myocardial functions.Results:After 3 weeks of treatment,the total effective rates were 88.64% in the Shen Qi Jin Lian Jie Du decoction group;93.18% in the Huang Qi injection group and 73.33% in the routine treatment group.ECG and myocardial function improvements were significant when compared with the control(P<0.01).Conclusions:Shen Qi Jin Lian Jie Du decoction and Huang Qi injection were effective in treating acute viral myocarditis.