摘要
目的：探索病毒性心肌炎（VMC）心理和药物康复治疗作用。方法：在心理疗法和辅酶Q10、VitC治疗的基础上，对93例VMC随机分组，加用黄芪（治疗组）或GIK极化液（对照组），疗程共3月。结果：治疗组（n＝50）和对照组（n＝43）共72．1％的患者有不同程度的心理障碍，经心理疗法后均恢复正常；治疗组各种心律失常较减少对照明显（P＜0．05）；治疗组治疗后LVEDd缩小、LVEF增加非常明显（P＜0．01），而对照组治疗后LVEDd缩小、LVEF增加明显（P＜0．05），治疗组治疗后CK、CK—MB、cTNT降低非常明显（P＜0．01），而对照治疗后降低明显（P＜0．05）；治疗组和对照组总有效率分别为84％和79％，两组间比较有显著性差异（P＜0．05）。结论：心理疗法和中西药物干预相结合的治疗方案对于VMC是有心肌保护和康复作用的有效疗法之一。
Objective: Explore the psychotherapy and drug rehabilitation therapy in viral myocarditis (VMC). Methods: Under the treatment with psychotherapy, coenzyme Q10 and vitamin C, 93 patients with VMC were randomly divided into two groups: treatment group and control group, treated with Astraglus membranaceus injection (treatment group) or GIK (control group) for 3 months. Results: 72.1% patients (n=93) had psychic disorders, which disappeared after psychotherapy. The morbidity of arrhythmia in treatment group was lower than control group (P<0. 05). After 3 months treatment, the LVEDd decreased, LVEF increased and CK, CK-MB, cTnT decreased in both groups. (P<0. 01 in treatment groups, P<0. 05 in control groups). The total effective rates were 84 % in treatment group and 79% in control group, which had significant difference (P<0. 05). Conclusion: Treatment with both psychotherapy and drug intervention is a good way to protect myocardium and promote rehabilitation for VMC patients.author's address: Institute of Cardiovascular Disease, Tongji Medical University, Wuhan. 430022
出处
《心血管康复医学杂志》
CAS
1998年第2期30-33,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
