中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
2期
264-265,267
,共3页
急性病毒性心肌炎%黄芪注射液%辅酶Q10
急性病毒性心肌炎%黃芪註射液%輔酶Q10
급성병독성심기염%황기주사액%보매Q10
Acute viral myocarditis%Astragalus membranaceus injection%Coenzyme Q10
目的：探讨急性病毒性心肌炎的临床诊断、治疗方法及治疗效果。方法：将我院收治的48例急性病毒性心肌炎患者，随机分为对照组和观察组。对照组采用常规对症支持治疗。观察组采用黄芪联合辅酶Q10治疗。比较两组治疗效果，治疗前后心电图改善情况，治疗前后CK-MB、CRP、CTnⅠ改善情况，治疗过程中不良反应发生情况。结果：观察组总有效率显著高于对照组，差异有统计学意义(P<0.05)。观察组治疗后各种心电图异常表现改善情况显著优于对照组，差异有统计学意义(P<0.05)。观察组治疗后CK-MB、CRP、CTnⅠ改善情况显著优于对照组，差异有统计学意义(P<0.05)。观察组与对照组不良反应发生率经统计学分析，差异无显著性(P>0.05)。结论：在对症支持治疗的基础上加用黄芪+辅酶Q治疗，疗效优于常规对症支持治疗，治疗后心电图改善显著，各指标改善显著，不良反应少，值得临床推广应用。
目的：探討急性病毒性心肌炎的臨床診斷、治療方法及治療效果。方法：將我院收治的48例急性病毒性心肌炎患者，隨機分為對照組和觀察組。對照組採用常規對癥支持治療。觀察組採用黃芪聯閤輔酶Q10治療。比較兩組治療效果，治療前後心電圖改善情況，治療前後CK-MB、CRP、CTnⅠ改善情況，治療過程中不良反應髮生情況。結果：觀察組總有效率顯著高于對照組，差異有統計學意義(P<0.05)。觀察組治療後各種心電圖異常錶現改善情況顯著優于對照組，差異有統計學意義(P<0.05)。觀察組治療後CK-MB、CRP、CTnⅠ改善情況顯著優于對照組，差異有統計學意義(P<0.05)。觀察組與對照組不良反應髮生率經統計學分析，差異無顯著性(P>0.05)。結論：在對癥支持治療的基礎上加用黃芪+輔酶Q治療，療效優于常規對癥支持治療，治療後心電圖改善顯著，各指標改善顯著，不良反應少，值得臨床推廣應用。
목적：탐토급성병독성심기염적림상진단、치료방법급치료효과。방법：장아원수치적48례급성병독성심기염환자，수궤분위대조조화관찰조。대조조채용상규대증지지치료。관찰조채용황기연합보매Q10치료。비교량조치료효과，치료전후심전도개선정황，치료전후CK-MB、CRP、CTnⅠ개선정황，치료과정중불량반응발생정황。결과：관찰조총유효솔현저고우대조조，차이유통계학의의(P<0.05)。관찰조치료후각충심전도이상표현개선정황현저우우대조조，차이유통계학의의(P<0.05)。관찰조치료후CK-MB、CRP、CTnⅠ개선정황현저우우대조조，차이유통계학의의(P<0.05)。관찰조여대조조불량반응발생솔경통계학분석，차이무현저성(P>0.05)。결론：재대증지지치료적기출상가용황기+보매Q치료，료효우우상규대증지지치료，치료후심전도개선현저，각지표개선현저，불량반응소，치득림상추엄응용。
Objective:To study the clinical diagnosis and treatment of acute viral myocarditis and the effect of treatment. Methods:48 cases of acute viral myocarditis patients of our hospital,were randomly divided into control group and observation group. Control group.Observation group treated with astragalus membranaceus combined coenzyme Q10.Compare two groups of curative effect,electrocardiogram (ecg) before and after treatment,before and after the treatment of CK-MB,CRP,CTn Ⅰ improvement,adverse reactions occurred in the process of treatment.Results:The observation group total effective rate was significantly higher than that of control group,the difference was statistically significant (P<0.05).Observation group after treatment all kinds of abnormal ecg performance improvement was significantly better than control group,the difference was statistically significant (P<0.05).Observation group after treatment CK-MB,CRP,CTnⅠimprovement significantly better than control group,the difference was statistically significant (P<0.05). Observation group and control group in incidence of adverse reactions after statistics analysis,there was no significant difference (P>0.05). Conclusion:In symptomatic support therapy on the basis of the treatment with astragalus root+coenzyme Q,curative effect is superior to the conventional support treatment,electrocardiogram improved significantly after treatment,the index improved significantly,less adverse reactions,worthy of clinical popularization and application.
