中西医结合治疗慢性病毒性心肌炎并发顽固性心律失常134例临床观察

Investigation of integration of Traditional Chinese Medicine and Western Medicine on 134 cases with chronic viral myocarditis complicated with refractory arrhythmia

目的 现察中西医结合治疗慢性病毒性心肌炎并发顽固性心律失常的临床疗效。方法 全部 １３４例患者予生脉散加减，水煎服，日１剂；黄连素０．３ ｇ，每日 ４次，１周后效果不明显者加量至０．５ ｇ，每日 ４次。４周为 １个疗程。结果 １３４例患者总有效率为７１．８％，其中室上性早搏为８４％，室性早搏为５２．９％，前者疗效明显高于后者（Ｐ＜０．０５）。且随着心律失常的纠正，各项心功能的血流动力学指标明显改善（Ｐ＜０．０５）。结论 中西医结合治疗慢性病毒性心肌炎经济简便，副作用少，疗效确切。

Objective To observe clinical effect of integration of Traditional Chinese Medicine and Western Medicine on chronic viral myocarditis complicated with refractory arrhythmia. Methods 134 cases with chronic viral myocarditis complicated with refractory arrhythmia were treated by Shengmai powder combined with Berberine. The therapeutic course was four weeks. Results The total effective rate was 71.8%. With correct of arrhythmia, indexes of myocardiac function and homodynamic were improved. Conclusions Integration of Traditional Chinese Medicine and Western Medicine can produce a definite effect on chronic viral myocarditis complicated with refractory arrhythmia.