炙甘草汤加减治疗不同中医症候心肌炎的临床疗效观察

目的：探索临床心肌炎患者的中医分型,以及中医辨证治疗情况。方法：对209例心肌炎患者进行中医辨证分型,并依据其辨证分型结果将其分为邪气侵袭（79例）、气阴两虚（64例）和心气虚弱（66例）3组,以中医辨证论治为指导依据,给予炙甘草汤加减治疗。比较3组患者治疗前后临床疗效,并检测心肌酶等相关指标。结果：经对症治疗,3组患者均有较好疗效;其中邪气侵袭组临床有效率高于其他2组,但组间差异无统计学意义（P〉0.05）。血清心肌酶谱检查结果显示：3组患者治疗前、后CK、CKMB和LDH检测值比较,差异有统计学意义（P〈0.05）;其中邪气侵袭组CK、CKMB和LDH检测值与其他2组比较,差异有统计学意义（P〈0.05）。结论：炙甘草汤加减治疗心肌炎有较好疗效,能有效改善患者血清心肌酶谱中CK、CKMB和LDH检测值,对临床该类疾病的中医症候分析与治疗起到很好的指导和借鉴意义。

Observation on Clinical Efficacy of Zhigancao Decoction in Treating Various TCM Types of Myocarditis

Objective：To explore TCM typing and TCM treatment of patients with myocarditis.Methods：A total of 209 cases of myocarditis patients were diagnosis as＂Xie qi qin xi＂,＂Qi yin liang xu＂,and＂Xin qi xu ruo＂by TCM syndrome type.The number cases of the three groups were respectively 79,64 and 66.Zhigancao decoction were given for treatment according to certain Chinese medicine syndrome.Clinical efficacy between the three groups was compared before and after treatment.Results：After symptomatic treatment,three groups of patients received better effects.The efficacy of＂Xie qi qin xi＂was higher than the other two groups,but the difference was not statistically significant（P 0.05）.Test results of the serum myocardial enzymes showed that the CK,CKMB and LDH all improved after treatment.The difference was statistically significant（P 0.05）.The ＂Xie qi qin xi＂group had a better result than the other two groups（P 0.05）.Conclusion：Zhigancao decoction has a good effect on the patients with clinical myocarditis.It could effectively improve CK,CKMB and LDH of patients.It can be a very good guide and reference value on TCM symptoms and treatment of myocarditis.