文档介绍：一卜百百:_1_ 桁继. 啦位代码:1 0441 学 U: 咖彩十搿香少摹硕士学位论文论文题目小柴胡汤加昧治疗急性病毒性心肌炎的疗效观察申请学位人员互墅堑入学学科年月专业 2002年9月中医内科学指导教师塑直塑 2805年 9J{ l¨I 提要目的:本课题在论证急性病毒性心肌炎邪毒侵心、气阴两虚的基本病机和和解表里、益气养阴的基本治法的基础上,探讨小柴胡汤加味治疗急性病毒性心肌炎的疗效机制。方法:将60例病毒性心肌炎患者随机分为治疗组和对照组,对照组30例采用西医综合治疗,治疗组30例常规西医治疗基础上加用小柴胡汤加味治疗。疗程均为 4周。结果:%,%;%,%,两组差异有显著性意义,治疗组疗效高于对照组(P<)。在中医证候疗效和改善病人主要临床症状方面,治疗组优于对照组(P<),在改善异常心电图的作用方面亦优于对照组(P<),还具有明显降低心肌酶谱和改善左心功能状态的作用,免疫指标CD。、CD.、CO。/CD。、NK细胞活性明显增加,治疗组治疗前后比较(P()。结论:小柴胡汤加味治疗急性病毒性心肌炎疗效显著,能够改善心脏收缩功能;能够改善AvMc患者的体液免疫功能低下。临床试验结果表明小柴胡汤加味对邪毒侵心,气阴两虚证疗效显著,全方共奏和解表里、益气养阴之功,是治疗急性病毒性心肌炎的有效方剂。关键词急性病毒性心肌炎;小柴胡汤加味;临床观察 ClinicalStudy OH Treating Acute V'ⅡaiMyocarditis With Ingredient-modified“Minor Bupleurum Decoction” Speciality:The study ofCardiovascular Disease,InternalMedicine ofTCM Auther:Wan Jinghong Tutor:, Fangxu Abstract Objeetive:To observe clinicaleffective of Ingredient-modified‘‘Minor Bupleurum Decoction'’on treating Acute ViralMyocarditis and study itstherapeutic mechanism. Methods: Sixtypatients ofAVMC wererandomly dMded intothecontrol group 00 cases)and thetreatedgroup(30cases).Conventional medicaltherapy was given totwo groups andthe 30pmionts inthe treated group were treated withIngredient-modified ”MinorBupleurum Decoction“.Thetherepeutic course forboth groups WaS 4weeks. Results:Theirsymptoms,sings,clectrocardiogam∽G),dynamic ECG changes before and after trcala-ncntand thefuntionofthe resultsimply:(1)the improvedment on breath,fatigue andspontaneous perspiration inthe treatment group wer;e better than those in the control group(P<).(2) Ingredient—modified”MinorBupleurum Decoction”has abettereffect onimproving ECG than thecontrol group(P<).(3)Especially Ingredient-modified‘'Minor Bnpleurum Decoction”has obvious effects 011reducingmyocardiurn enzyme tableandimproving the fimction of the left heart and enhancing immunity : /ngredient-modified‘'Minor Bupleurum D