当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
13期
122-123
,共2页
病毒性心肌炎%曲美他嗪%黄芪注射液
病毒性心肌炎%麯美他嗪%黃芪註射液
병독성심기염%곡미타진%황기주사액
Viral myocarditis%Trimetazidine%Astragalus injection
目的 分析曲美他嗪联合黄芪注射液对急性病毒性心肌炎患者的临床治疗效果.方法 将60例急性病毒性心肌炎患者按照随机双盲的原则均分为对照组和观察组(n=30).对照组患者治疗上给予注射用辅酶A静脉滴注,1次/d,1次300单位,三磷酸腺苷二钠片,口服,3次/d,1次2片;维生素C注射液,静脉滴注,3次/d,1次250 mg;1,6二磷酸果糖注射液静脉滴注,1次/d,1次5 g;观察组患者在上述常规治疗的基础上同时给予曲美他嗪和黄芪注射液治疗,口服,3次/d,1次1片,黄芪注射液静脉滴注,1次/d,1次30 mL.比较2组患者的临床治疗有效率及心电图改善情况.结果 对照组患者的临床治疗总有效率70.00%明显低于观察组90.00%,差异有统计学意义(P<0.05);经过治疗,对照组患者的ST-T改善情况总有效率70.00%明显差于观察组90.00%.结论 对于急性病毒性心肌炎患者在常规治疗的基础上加用曲美他嗪和黄芪注射液,不仅提高临床治疗效果,而且有助于患者心肌缺血情况的改善.
目的 分析麯美他嗪聯閤黃芪註射液對急性病毒性心肌炎患者的臨床治療效果.方法 將60例急性病毒性心肌炎患者按照隨機雙盲的原則均分為對照組和觀察組(n=30).對照組患者治療上給予註射用輔酶A靜脈滴註,1次/d,1次300單位,三燐痠腺苷二鈉片,口服,3次/d,1次2片;維生素C註射液,靜脈滴註,3次/d,1次250 mg;1,6二燐痠果糖註射液靜脈滴註,1次/d,1次5 g;觀察組患者在上述常規治療的基礎上同時給予麯美他嗪和黃芪註射液治療,口服,3次/d,1次1片,黃芪註射液靜脈滴註,1次/d,1次30 mL.比較2組患者的臨床治療有效率及心電圖改善情況.結果 對照組患者的臨床治療總有效率70.00%明顯低于觀察組90.00%,差異有統計學意義(P<0.05);經過治療,對照組患者的ST-T改善情況總有效率70.00%明顯差于觀察組90.00%.結論 對于急性病毒性心肌炎患者在常規治療的基礎上加用麯美他嗪和黃芪註射液,不僅提高臨床治療效果,而且有助于患者心肌缺血情況的改善.
목적 분석곡미타진연합황기주사액대급성병독성심기염환자적림상치료효과.방법 장60례급성병독성심기염환자안조수궤쌍맹적원칙균분위대조조화관찰조(n=30).대조조환자치료상급여주사용보매A정맥적주,1차/d,1차300단위,삼린산선감이납편,구복,3차/d,1차2편;유생소C주사액,정맥적주,3차/d,1차250 mg;1,6이린산과당주사액정맥적주,1차/d,1차5 g;관찰조환자재상술상규치료적기출상동시급여곡미타진화황기주사액치료,구복,3차/d,1차1편,황기주사액정맥적주,1차/d,1차30 mL.비교2조환자적림상치료유효솔급심전도개선정황.결과 대조조환자적림상치료총유효솔70.00%명현저우관찰조90.00%,차이유통계학의의(P<0.05);경과치료,대조조환자적ST-T개선정황총유효솔70.00%명현차우관찰조90.00%.결론 대우급성병독성심기염환자재상규치료적기출상가용곡미타진화황기주사액,불부제고림상치료효과,이차유조우환자심기결혈정황적개선.
Objective To analyze the effect of trimetazidine combined with astragalus injection in patients with acute viral myocarditis. Methods 60 cases of acute viral myocarditis were randomized into control group and observation group in accordance with the principle of double-blind, 30 patients in each group.The control group of patients were given bed rest, improve myocardial cell nutrition and metabolism, anti-viral, anti-infective and other conventional drug treatment, while patients in the observation group were given trimetazidine and astragalus intravenous infusion therapy on the basis of conventional treatment, observed two groups of patients of clinical treated efficiency and ECG improvement.Results The total efficiency of the clinical treatment in the control group wassignificantly lower than that in the observation group, and the difference between the two groups was statistically significant (P <0.05); after treatment, ST-T improvements situation in the control group was worse than the observation group, and the difference was also statistically significant (P<0.05).Conclusion For patients with acute viral myocarditis on the basis of conventional therapy plus trimetazidine and astragalus, not only can improve clinical outcomes, but also helps to improve the situation of patients with myocardial ischemia.
