中西医结合治疗急性病毒性心肌炎临床研究

目的：观察中药参芪芩连解汤、黄芪注射液加口西药与单纯口服西药治疗急性病毒性心肌炎（VMC）的疗效。方法：将118例急性VMC患者随机分成三组：参芪芩连解毒汤（治疗1组）、黄芪注射液（治疗Ⅱ组）、常规治疗（对照组）。观察各组临床疗效、心电图、心功能等改善情况。结果：经3周治疗后，总有效率，治疗Ⅰ组88．64％，治疗Ⅱ组93．185，对照组73．33％。心电图改善，治疗Ⅰ组与对照组比较，P＜0．01，与治疗Ⅱ组比较，P＜0．05。心功能改善左室射血分数（LVEF），治疗Ⅰ，Ⅱ组与对照组比较P＜0．05，与治疗前比较P＜0．05。结论：中药参芪芩连解汤、黄芪注射液为临床治疗急性病毒性心肌炎安全而有效的药物，中西医结合互补充，能有效控制延缓病情恶化，缩短疗程，提高疗效，值得临床推广应用。

Clinical Study on theIntegrated Treatment of Acute Viral Myocarditis with Western Medicine and TCM

Objective:To explore the therapeutic efficacy of the integrated treatment on acute viral myocarditis.Methods:118 acute VMC cases were divided at random into three groups:Shen Qi Jin Lian Jie Du decoction group,Huang Qi injection group and routine treatment group so as to observe the ECG,myocardial functions.Results:After 3 weeks of treatment,the total effective rates were 88.64% in the Shen Qi Jin Lian Jie Du decoction group;93.18% in the Huang Qi injection group and 73.33% in the routine treatment group.ECG and myocardial function improvements were significant when compared with the control(P<0.01).Conclusions:Shen Qi Jin Lian Jie Du decoction and Huang Qi injection were effective in treating acute viral myocarditis.