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目的:研究中西医结合治疗儿童肺炎支原体性心肌损伤的临床疗效。方法:通过将84例符合研究纳入标准的肺炎支原体性心肌损伤患儿随机分为中西医结合组(磷酸肌酸钠联合自拟生脉汤组)28例、西药组(磷酸肌酸钠组)20例、中药组(自拟生脉汤组)20例和对照组(能量合剂组)16例,4组患者均给予阿奇霉素等抗感染治疗,分别对4组的综合疗效、主要症状消失时间、治疗前后主要心肌酶谱、心电图恢复情况进行比较。结果:中西医结合组在总体疗效上优于其他组(P<0.05),中西医结合组在某些主要临床症状的恢复和心肌酶谱指标的恢复显著优于其他组(P<0.05)。结论:以磷酸肌酸钠联合中药汤剂的中西医结合的方法治疗儿童肺炎支原体性心肌损伤疗效显著,具有重要的临床价值。
Objective: To study the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of children with Mycoplasma pneumoniae Myocardial Injury. Methods: A total of 84 children with Mycoplasma pneumoniae Myocardial Injury who were eligible for inclusion in the study were randomly divided into two groups: 28 cases in Integrative Medicine group (sodium creatine phosphate combined with self-made Shengmaitang group), Western medicine group (sodium creatine phosphate group) 20 cases of Chinese medicine group (self-Sheng Mai soup group) 20 cases and control group (energy mixture group) 16 cases, 4 patients were given azithromycin and other anti-infective treatment, respectively, the four groups of comprehensive efficacy, disappearance of the main symptoms, Before and after treatment, the main myocardial enzymes, ECG recovery were compared. Results: The integrated traditional Chinese and western medicine group was superior to the other groups in overall curative effect (P <0.05). The recovery of some major clinical symptoms and the recovery of myocardial enzymological indexes were significantly better in traditional Chinese and western medicine group than those in other groups (P <0.05). Conclusion: The treatment of children with Mycoplasma pneumoniae Myocardial Injury by sodium creatine combined with traditional Chinese medicine decoction has significant curative effect and has important clinical value.