ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (1): 75-78.doi: 10.3969/j.issn.1674-3865.2016.01.028

• 临床研究 • 上一篇    下一篇

小儿病毒性心肌炎合并心律失常中西医治疗的临床观察

唐其民，宋朝功   

  1. 450000 郑州，河南中医学院研究生院(唐其民)；河南中医学院第一附属医院心内科(宋朝功)
  • 出版日期:2016-02-25 发布日期:2018-11-19
  • 通讯作者: 宋朝功，Email：scgdoctor@163.com
  • 作者简介:唐其民(1981-)，男，河南中医学院2014级硕士研究生在读，主治医师。研究方向：中西医结合防治心血管疾病

Clinical observation on the treatment for children with viral myocarditis and arrhythmia by Chinese and western medicin

TANG Qimin，SONG Chaogong   

  1. Henan College of Traditional Chinese Medicine，Zhengzhou 450000，China
  • Online:2016-02-25 Published:2018-11-19

PDF (PC)

116

摘要：
目的：观察中西医结合分类分期治疗小儿病毒性心肌炎合并心律失常临床疗效。
方法：河南中医学院第一附属医院2014年7月至2015年4月收治住院的病毒性心肌炎患儿80例，随机分为观察组和对照组各40例。对照组予常规西医营养心肌治疗，观察组在对照组西医治疗的基础上加中医分类分期辨证中药汤剂口服治疗。两组患儿疗程均为1个月，应用中医临床病证诊断疗效标准及治疗前后心肌酶指标评定疗效。
结果：观察组总有效率为94.7%(36/38)，显著高于对照组70.3%(26/37)，两组比较差异有统计学意义(P＜0.05)；治疗后两组患儿心肌酶各项指标均较治疗前显著降低，观察组治疗后其水平显著低于对照组，差异有统计学意义(P＜0.05)。
结论：中西医结合分类分期治疗小儿病毒性心肌炎合并心律失常疗效显著。

关键词: 病毒性心肌炎, 心律失常, 中医分类分期治疗, 临床效果, 儿童

Abstract:
Objective：To observe the clinical effect of the integrative treatment with Chinese and western medicine for children with viral myocarditis and arrhythmia according to classification and stage.
Methods：A total of 80 children admitted to the First Affiliated Hospital of Henan TCM College from July 2014 to April 2015 for viral myocarditis were included in the study，and they were randomly divided into observation group(40 cases) and control group(40 cases).Both groups were given conventional western treatment of myocardial nutrition，and the observation group was added Chinese medicine decoction differentiated by classification and stage.The treatment course was 1 month for both groups，and then the curative effect was evaluated by TCM clinical standard of diagnosis and curative effect as well as the myocardial enzyme indexes before and after treatment.
Results：The total effective rate of observation group was 94.7%(36/38)，which was significantly higher than 70.3%(26/37) of control group，and the difference was statistically significant(P＜0.05).All myocardial enzyme indexes were significantly lower after treatment in both groups，and the indexes in the observation group were even much lower，the difference being of statistical significance(P＜0.05).
Conclusion：The clinical effect of integrated treatment with Chinese and western medicine is significant for children with viral myocarditis and arrhythmia according to classification and stage.

Key words: Viral myocarditis, Arrhythmia, TCM treatment by classification and stage, Clinical effect, Children