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"pure Heart And Combination Therapy In Children With Acute Coxsackie B Viral Myocarditis

Posted on:2003-10-02Degree:MasterType:Thesis
Country:ChinaCandidate:K C WangFull Text:PDF
GTID:2204360062995560Subject:Chinese Academy of Pediatrics
Abstract/Summary:PDF Full Text Request
Qingxin combined therpeutics is one of the projects, which be used to cure pediatric viral myocarditis. The Qingxin therpeutics was established by professor Chen .It is the same with the acute viral myocarditis. Purpose: Observe the effect of Qingxin therpeutics, and contrast with the western medicine therapeutics, contrast the validity and security of them, work out the preliminary appraise, and discuss the mechanism of the action.We used prospective effect contrast observation. The cases selected and divided randomly into two groups. We observed the effect of traditional Chinese medication, which used the Qingxin mixture as the main medicine. Added injection with syndrome differentiation for intravenous dripping, include Shuanghuanglian injection or Chuanhuning injection, Astraglus injection, compound Salvia injection. And we contrast with the western medicine therapeutics with general therapeutics western medicine. Result: the response rate of study group is 94.29%; the response rates of various kinds of markers were significantly higher in the traditional Chinese medicine group than the west medicine group. (PO.05~0.01) The markers include the breathholding, heartache and other main symptom, Sinus arrhythmia, various kinds of conduction block and ST-T alteration in ECG.The result indicate, middle type cases of the acute viral myocarditis exist left ventricular remodeling, The markers of the left ventricular remodeling include left ventricular end-diastolic diameter; left ventricular end-systolic diameter; short axis length/long axis length; left ventricular dimension; left ventricular weight and ejection fraction (EF). After treatment, the response rates of various kind of markers were significantly higher in the traditional Chinese medicine group than the west medicine group (PO.05~0.01). And after treatment, the T lymphocyte subsets CD3CD4 CD8 CD4/CD8 and natural killer cell(NK) activity of peripheral blood increased than before, in the traditional Chinese medicine group, NK cell activity were significantly improved than the west medicine group (PO.01)Above all indicate the Qingxin therpeutics could reverse left ventricular remodeling of acute viral myocarditis; adjust cellularimmunity.In addition, the results of the correlation research in experiment confirmed that the Qingxin mixture has obvious action of antiviral and treatment. The acute virulence experiment show: Balb/c rats which were infect CVB3m, were able to endure 120 times doses than human being.therefore,confirm the validity and security of the Qingxin mixture.
Keywords/Search Tags:Qingxin mixture, Pediatric viral myocarditis, Pathogenic factors disoperation heart, Coxsa-ckie virus B, Left ventricular remodeling, T lymphocyte subsets, Natural killer cell (NK)
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