摘要：目的：探讨中西医结合治疗病毒性心肌炎的临床疗效。方法：将诊断为病毒性心肌炎的60例患者随机分为治疗组和对照组各30例，对照组采用常规西医治疗；治疗组在对照组基础上加服自拟参芪复心饮，4周后统计疗效。观察比较总有效率、症状、心电图改善情况的差异。 结果：治疗组总有效率为86.67％。对照组总有效率为73.33％，治疗组的总有效率显著高于对照组，差异具有统计学意义(P<0．05)；治疗组在症状、心电图、心肌酶等方面的改善程度明显优于对照组，差异亦有统计学意义。结论：中西医结合治疗病毒性心肌炎有较好临床疗效。

关键词：病毒性心肌炎；中西医结合治疗；临床疗效

Effect on Viral Myocarditis in 60 Cases by Integrated Treatment of Traditional Chinese Medicine and Western Medicine  

                              LI Xiao-wei

(Cardiology Department, Hengyang Municipal Hospital of Traditional Chinese Medicine, Hengyang, Hunan, 421001, China)

[Abstract] Objective: To observe the clinical effect on viral myocarditis by integrated treatment of traditional Chinese medicine (TCM) and western medicine (WM). Methods: 60 cases of viral myocarditis were randomly divided into the treating group (30 cases) and and the control group (30 cases). The control group were treated by routine WM treatment whereas the treating group were added with Shenqi Fuxin Decoction. Effects were observed after four weeks' treatment on the total effective rate, symptoms and dynamic electrocardiogram (DCG). Results: The total effective rate was 86.67% in the treating group, significantly higher than that in the control group (P<0.05); the improvement of symptoms and DCG was significant in the treating group than in the control group (P<0.05). Conclusion: Integrated treatment of TCM and WM has good clinical effect on viral myocarditis and is better than pure WM treatment.

[Keywords] Viral myocarditis, integrated treatment of Traditional Chinese Medicine and western medicine, clinical effect

病毒性心肌炎是指嗜心性病毒感染所引起心肌疾病，其发病率呈逐年增高的趋势，目前已成为危害人们健康的内科常见病。本病是由多种病毒引起的局灶性或弥漫性心肌细胞变性、坏死，心肌间质细胞浸润，纤维素渗出等病理改变，从而导致心肌损伤、心功能障碍和／或心律失常的一种疾病。目前西医尚无有效的治疗手段，常规治疗多采用采用抗病毒、抗菌、营养心肌、抗脂质过氧化等对症支持治疗，而中医治疗病毒性心肌炎有其明显的优势。笔者采用参芪复心饮为基本方结合西医治疗病毒性心肌炎，获得较好临床效果，现介绍分析如下。