小柴胡汤、荣心丸联合西药治疗急性病毒性心肌炎随机平行对照研究

Xiaochaihu Soup,Rongxin Pill Combined with Western Medicine Acute Viral Myocarditis Randomized Controlled Study

[目的]观察小柴胡汤、荣心丸联合西药治疗急性病毒性心肌炎疗效。[方法]使用随机平行对照方法,将72例住院及门诊患者按掷骰子法简单随机分为两组。对照组36例避免劳累,防止受凉,注意休息,吸氧;极化液：10%葡萄糖500mL＋胰岛素（10U）＋氯化钾10mL,1次/d,静滴,辅酶Q_（10）100mg/次,1次/d;维生素C0.2g/次,3次/d;维生素E 20mg/次,3次/d;荣心丸9g/次,3次/d。治疗组36例小柴胡汤（党参30g,黄芪20g,麦冬、甘草~炙各15g,柴胡、半夏、大枣、生姜、黄芩各10g）,儿童水煎100mL,成人400mL,2次/d,儿童50mL/次,成人200mL/次,早晚分服;西药及荣心丸治疗同对照组。连续治疗28d为1疗程。观测临床症状、阳性体征、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈26例,显效5例,有效4例,无效1例,总有效率97.22%。对照组痊愈19例,显效4例,有效6例,无效7例,总有效率80.56%。治疗组疗效优于对照组（P〈0.05）。[结论]小柴胡汤、荣心丸联合西药治疗急性病毒性心肌炎疗效满意,无严重不良反应,值得推广。

[Objective]To observe Xiaochaihutang,Rong pill combined with western medicine acute viral effect.[Methods]Randomized parallel controlled method,72 cases of inpatient and outpatient law by simple dice randomly divided into two groups.The control group of 36 patients to avoid fatigue,to prevent the cold,pay attention to rest,while giving the patient oxygen.GIK：10% glucose injection 500 m L＋insulin（10U）＋potassium chloride 10 m L,1 times/d,intravenous infusion;coenzyme Q10 100 mg/times,1 times/d.Vitamin C,0.2 g/time,3 times/d;vitamin E,20mg/time,3 times/d.Rong pill,9g/time,3 times/d.The treatment group 36 cases Xiaochaihutang（Dangshen 30 g,Huangqi 20 g,Maimendong,Gancao each 15 g,Chaihu,Banxia,Dazao,Shengjaing,Huangqin each 10g）,1 /d,Children decoction 100 m L,adult 400 m L,2 times/d,Child 50 m L/second,adult 200 m L/times,morning and evening hours service.Western medicine with the control group.28 d for a course of continuous treatment.Observation of clinical symptoms,positive signs of adverse reactions.One course of treatment,to determine efficacy.[Results]26 cases were cured,5 cases markedly effective in 4 cases,1 case,the total efficiency of 97.22%.The control group recovered 19 cases,effective in 4 cases,effective in 6 cases,7 cases,the total efficiency of 80.56%.Treatment group than the control group（P〈0.05）.[Conclusion]Xiaochaihutang,Rongxin pill combined with western medicine treatment of acute viral myocarditis results were satisfactory,no serious adverse reactions,is worth promoting.