参芪建宗颗粒治疗小儿心肌损害的临床探究.pdfVIP

提 要 目的：探讨参芪建宗颗粒治疗小儿心肌损害宗气虚证的治疗作用及临床疗效，为 本病本证的医治寻求新方法、新途径。方法：将符合西医心肌损害和中医太息证宗气 虚证诊断标准的 60 例患儿，随机分为治疗组（30 例）和对照组（30 例），治疗组给 予常规治疗，同时给予参芪建宗颗粒，对照组只予常规治疗，并于治疗前后做血清心 肌酶谱、心电图的检测。两组均以 15 天为一疗程，观察两组的临床疗效，随访 1 个 月，观察远期疗效。结果：治疗组总有效率为93.33％，对照组总有效率为86.67％， 在改善患儿症状、体征及心肌酶谱、心电图等方面，治疗组均优于对照组（P＜0.05）。 两组治疗期间均未发生不良反应。结论：参芪建宗颗粒是治疗小儿心肌损害宗气虚证 的有效方剂，值得临床推广和应用。 关键词 参芪建宗颗粒；心肌损害；太息；宗气虚证；临床研究 Shen qi jianzong pellet treatment Pediatric myocardial injury clinical research Specialty: Pediatrics Medicine of TCM Author ：wangping Tutor ：Prof.Cui Wen Cheng Abstract Objective: To explore the treatment and clinical effects of Shenqi jianzong pellet on childrens myocardial injury with zongqi asthenia syndrome. Methods: 60 cases of childrens myocardial injury with zongqi asthenia syndrome children were randomly divided into the treatment group and the control group. The control group was treated with regular western medicine, and the treatment group was treated shenqi jianzong pellet on top of the same regular western medicine. Both groups were tested with myocardial enzyme spectrum and ECG before and after treatment. Two groups take 15 days as a treatment course, observes clinical curative effects of two groups , and to cures the patient to make a follow-up visit for one months,to observe the forward curative effect. Results: The effective rate of the treatment group is 93.33 %, and the control group is 86.67% . Comparing with the control group, the treatment group has higher recovery rate of symptoms,signs, myocardial enzyme spectrum , Cardiac troponin and ECG (P 0.01). The two groups were not adverse reactions during treatment. Conclusions: shenqi jia