中医护理措施联合常规医护措施干预病毒性心肌炎急性期临床研究
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R272;R248.1

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Clinical Study on Chinese Medicine Nursing Measures Combined with Routine Medical Measures for Acute Viral Myocarditis
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    摘要:

    目的:观察中医护理措施联合常规医护措施干预病毒性心肌炎(VMC) 急性期的临床效果。方法:将90 例急性期热毒侵心证VMC 患者以随机数字表法分为对照组和观察组各45 例。2 组均予利巴韦林颗粒、辅酶Q10 胶囊、注射用磷酸肌酸钠、注射用左卡尼汀治疗,施予综合护理措施。观察组加予耳穴压豆、穴位按摩和饮食指导等中医护理措施。2 组疗程均为4 周。观察比较2 组治疗前、治疗4 周后的超声心动图、心电图检查结果与临床症状积分,检测血清肌钙蛋白I (cTnI)、肌酸磷酸激酶(CK-MB),记录左心室射血分数(LVEF)、心脏指数(CI),比较心电图、cTnI、CK-MB 复常情况;出院时进行护理满意度评价。结果:治疗后,2 组血清cTnI、CK-MB 水平均较治疗前下降(P<0.01),观察组血清cTnI、CK-MB 水平均低于对照组(P<0.01)。观察组cTnI、CK-MB 和心电图复常率均高于对照组,差异均有统计学意义(P<0.05)。2 组LVEF、CI 均较治疗前增加(P<0.01),临床症状积分均较治疗前下降(P<0.01)。观察组LVEF、CI 均高于对照组(P<0.01),临床症状积分低于对照组(P<0.01)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:在常规医护措施基础上加用中医护理措施干预VMC 急性期热毒侵心证患者,可有效改善心肌酶学指标,缓解症状改善心功能,临床疗效较为满意。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chinese medicine nursing measures combined with routine medical measures for acute viral myocarditis(VMC). Methods:A total of 90 cases of patients with VMC with heat toxin invading heart syndrome in acute phase were divided into the control group and the observation group according to the random number table method, 45 cases in each group. Both groups were treated with ribavirin granules, coenzyme Q10 capsules, creatine phosphate sodium for injection and levocarnitine for injection, as well as given comprehensive nursing measures. The observation group was additionally given Chinese medicine nursing measures including auricular point pressing with beans, point massage and dietary guidance. Both groups were treated for four weeks. Before treatment and after four- week treatment,the results of echocardiogram and electrocardiogram as well as clinical symptom scores in the two groups were observed and compared;the troponin I(cTnI) in serum and creatine phosphokinase in myocardium(CK-MB) were measured; left ventricular ejection fraction(LVEF) and cardiac index(CI) were recorded; the recovery of electrocardiogram, cTnI and CK-MB were compared. When discharged,the nursing satisfaction was evaluated. Results:After treatment,the levels of serum cTnI and CK- MB in the two groups were decreased when compared with those before treatment(P<0.01),and the levels in the observation group were lower than those in the control group(P<0.01).The normalization rates of cTnl, CK- MB and electrocardiogram in the observation group were higher than those in the control group, the difference being significant(P<0.05). The scores of LVEF and CI in the two groups were increased when compared with those before treatment(P<0.01),and the clinical symptom scores were decreased(P<0.01);the scores of LVEF and CI in the observation group were higher than those in the control group(P<0.01),and the clinical symptom score was lower(P<0.01). The nursing satisfaction in the observation group was higher than that in the control group, the difference being significant(P<0.05). Conclusion:Based on routine medical measures,the additional application of Chinese medicine nursing measures for acute VMC patients with heat toxin invading heart syndrome can effectively improve the myocardial enzymology indexes and heart function,and relieve symptoms with satisfactory clinical effect.

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徐敏.中医护理措施联合常规医护措施干预病毒性心肌炎急性期临床研究[J].新中医,2021,53(11):179-183

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  • 在线发布日期: 2021-06-10
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