益气祛瘀解毒法治疗病毒性心肌炎急性期的临床探究.pdfVIP

提 要 病毒性心肌炎(viral myocarditis，VMC)是一种由病毒感染所致的以心肌炎性病 变为主的疾病，是临床常见的心系疾病之一。易发于青少年，近年逐步引起国内外重 视。目的：本课题根据中医基本理论，结合临床研究，观察益气祛瘀解毒法治疗VMC 急性期的临床疗效。方法：选60例符合病例纳入标准的VMC急性期的患者随机分为两 组，试验组30例，对照组30例，试验组用中药益气祛瘀解毒法治疗，对照组用常规西 药治疗，观察两组治疗前后症状、体征、心电图、血清心肌酶，左心室功能变化。结 果：试验组总有效率97％，对照组总有效率60％，两组差异有显著性意义。在中医证 候疗效和改善病人临床症状方面，试验组优于对照组(PO．05)，在改善异常心电图 的作用方面亦优于对照组(PO．05)。同时试验组对患者的血清心肌酶、左心室功能 方面亦有明显的改善作用(P0．05)结论：益气祛瘀解毒法治疗病毒性心肌炎急性期 临床症状改善明显，是治疗VMC的有效方法 。 关键词 益气祛瘀解毒法 病毒性心肌炎急性期 临床研究 Clinical Study On treating Viral Myocarditis with YiQiQuYuJieDu-FA peciality ：Internal Medicine of Traditional Chinese Medicine Author：Yin Zhen Hua Tutor ：Bao Pei Rong Abstract objective ：According to the basic theory of traditional Chinese medicine ，combined with clinical research，Observing on Yiqi Quyu Jiedu treatment of convalescence phase of viral myocarditis. methods ：60 patients with VMC were selected and divided into two groups，30 patients in treatment group and 30 patients in control group. One group Was treated with—Yiqi Quyu Jiedu fa and the other one with general western medicine ．Then observe the effect of their symptoms ，sings ， ECG changes and function of the left heart ．Rusult ：The YiQiQuYuJieDu -fa group has better improvement not only on significant symptoms，but also on ECG and function of the left heart than the group with general western medicine. Conclusion ：YiqiQuyu Jiedu -fa is an effective method on convalescence phase of viral myocarditis ． Key words Yiqiquyujiedu clinic observation viral myocarditis the treatment of Chinese medicine 目 录 引 言 1 临床研究 2 1 病例选择 2 1.1 诊断标准 2 2 试验病例标准 4 2.1 纳入病例标准 4 2