中西医结合辨证治疗心肌炎的临床观察.doc

中西医结合辨证治疗心肌炎的临床观察
【摘要】目的观察中西医结合辨证治疗心肌炎临床疗效。方法选择60例符合心肌炎诊断标准的为治疗组,采用中医辨证论治疗;40例为对照组,用西药常规对症治疗,疗程前后复查心电图、心功能等检查,对疗效进行比较。结果治疗组有效率95%,对照组有效率85%,两组相比有差异具有显著性(P﹤)。结论中医辨证治疗心肌炎疗效确切,值得推广。
【关键词】中西医结合;心肌炎;疗效观察

【Abstract】Objective To observe the clinical efficacy of integrated traditional and edicine to treat Select 60 cases of myocarditis diagnostic criteria as the treatment group, use the treatment of traditional medicine;select 40 cases as the control group, use the treatment of conventional edicine, recheck electrokardiogram and cardiac function before and after treatment ,pare the The efficiency of the treatment group is 95%, the efficiency of the control group is 85%, the difference betent of traditional medicine to myocarditis is effective, is otion.
【Key edicine; Myocarditis; Clinical observation

心肌炎为病毒侵犯心肌后引起细胞变性坏死和心肌间质改变的一种疾病,近几年来发病率明显增多,“心肌炎的临床表现常取决于病变的广泛程度。轻重病例的表现差别极大,轻者几无症状,重者可至猝死”[1] 。临床表现属祖国医学的“心悸”、“咳喘”、“痰饮”、“水肿”等范畴。主病在心,日久伤阴耗气而致。涿州市中医院自1999~2006年对本院门诊及住院心肌炎患者,采用中医辨证治疗,取得满意疗效,现报道如下。

1 临床资料

一般资料符合心肌炎诊断疗效治疗组60例中,男性31例,女性29例。8~10岁3例,10~20岁5例,20~30岁7例,30~40岁15例,40~50岁21例,50~60岁6例,60~68岁3例。,伴有T波低平、倒置16例,伴Ⅲ度并房室传导阻滞9例,伴室上性心动过速11例,伴窦性过缓14例,伴完全性左束支传导阻滞10例。对照组40例,男性21例,女性19例,10~20岁2例,20~30岁7例,30~40岁11例,40~50岁15例,50~60岁5例。,伴有T波低平倒置12例、伴Ⅱ度并房室传导阻滞8例,伴室上性心动过速11例,伴完全性左束支传导阻滞9例。两组病例心电图