摘要
目的：观察中西医结合治疗病毒性心肌炎的临床疗效。方法：选取我院收治的病毒性心肌炎患者102例,随机分为对照组和观察组,每组各51例,对照组采用西医治疗,观察组采用中西医结合治疗,观察两组患者的临床效果。结果：观察组总有效率为98.04%（95%CI=85.20%~99.90%）,对照组为80.39%（95%CI=69.49%~91.29%）,两组综合疗效比较（u=2.088 6,P=0.037 0）,差异有显著性意义;与对照组比较,观察组治疗后心排血量（CO）、心脏收缩指标射血分数（EF）、每搏量（SV）改善情况明显,具有显著性意义（P〈0.05）。结论：在西医治疗的基础上给予中医辨证治疗的疗效优于单纯西医疗法,其收益为OR=0.08（95%CI=0.01~0.67）,NNT=6（95%CI=3.37~17.83）。
Objective： To observe the clinical effect of integrated traditional Chinese and western medicine on viral myocarditis. Methods ： 120 cases of treated patients with viral myocarditis were selected in our hospital,and randomly divided into control group and observation group,51 cases in each group. The control group was treated with western medicine,while the observation group was treated with integrated traditional Chinese and western medicine. The clinical effects of patients in two groups were observed. Results： The total effective rate of observation group was 98. 04%（ 95% CI = 85. 20% ~ 99. 90%）,while that of control group was 80. 39%（ 95% CI =69. 49% ~ 91. 29%）. Compared the comprehensive effects of two groups（ U = 2. 088 6,P = 0. 037 0）,the difference was statistically significant. Compared with the control group,after the observation group was treated,cardiac output（ CO）,ejection fraction（ EF） of cardiac systolic indexes and stroke volume（ SV） were obviously improved,the differences were statistically significant（ P〈0. 05）. Conclusions： The effect that the observation group was treated with TCM syndrome differentiation on the basis of western medicine is better than only with western medicine; its benefit is OR = 0. 08（ 95% CI = 0. 01 ~ 0. 67）,NNT = 6（ 95% CI = 3. 37 ~ 17. 83）.
出处
《山西中医》
2016年第6期28-29,35,共3页
Shanxi Journal of Traditional Chinese Medicine
关键词
病毒性心肌炎
心排血量
心脏收缩指标
射血分数
中西医结合疗法
viral myocarditis
cardiac output
cardiac systolic indexes
ejection fraction
therapy of integrated traditional Chinese and western medicine
