There is no specific treatment for the viral myocarditis.With the study of multitude antivirus and immune regulation herbs,the advantages of traditional Chinese medicine are highlighted,making viral myocarditis become one of the diseases for which traditional Chinese medicine has made a breakthrough.Based on the theories of disease and syndrome and corresponding of prescriptions and syndromes,we optimize the strategy of treatment,in order to form composition forces in antivirus and immune regulation and improve the therapeutic effect.

Objectives To evaluate the responsibility of Quality of Life Scale in Patients with Viral Myocarditis (QOL-VMC Scale). Methods Fifty patients who were diagnosed viral myocarditis filled in the QOL-VMC Scale before and after treatment. The responsibility of QOL-VMC Scale was evaluated from both the change of QOL-VMC Scale score and the effect size. Results After treatment the score of the physiological, psychological and social dimensions and the total score of the scale were all higher than before treatment, and the differences were significant (p<0.01). The effect size of the physiological dimension, social dimension and total scale were between 0.52 and 0.65, while the effect size of the psychological dimension was 0.37. Conclusions QOL-VMC Scale is proved with good responsibility, so it can be used to evaluate the therapeutic effect of viral myocarditis.

近年来病毒性心肌炎发病率有逐年增加的趋势。但由于缺乏特异性诊断指标,其诊断和鉴别诊断令许多心脏科医师困扰。研究证明,病毒性心肌炎患者中可测出多种抗心肌自身抗体。特异性抗心肌抗体是一类针对心肌某一特定抗原决定簇的自身免疫性抗体,具有器官特异性和疾病特异性。我们在临床研究中发现其参与了病毒性心肌炎中心肌自身免疫损伤的过程。本文论述抗心肌线粒体ADP/ATP载体蛋白抗体(ANT)、抗β1-受体抗体(β1)、抗胆碱能受体抗体(M2)、抗肌球蛋白重链抗体(MHC)四种抗心肌抗体对病毒性心肌炎诊断的贡献价值。

<正>随着病毒性疾病日益增多,病毒性心肌炎(VMC)成为继冠心病之后常见的心脏病病种之一,成为心脏病住院的10大病种之一,进入21世纪其发病有进一步升高的趋势。VMC的治疗,现代医学至今尚无特效疗法,主要是休息、支持治疗和对症处理。中医药治疗VMC的优势在于辨证论治,掌握

OBJECTIVE:To further select the items based on the pre-test version of quality of life scale in patients with viral myocarditis.METHODS:Totally 100 patients with viral myocarditis were enrolled in this study. Methodologies including frequency distribution, discrete trend, t-test, Cronbach's α coefficient, correlation coefficient and factor analysis were applied to select items from different perspectives.RESULTS:A total of 17 items were selected by frequency distribution method from the perspective of central tendency, 15 items were selected by discrete trend method from the perspective of sensitivity, 16 items were selected by t-test method from the perspective of sensitivity and discrimination, 16 items were selected by Cronbach's α coefficient method from the perspective of internal consistency, 12 items were selected by correlation coefficient method from the perspective of representation and independence, and 18 items were selected by factor analysis method from the perspective of representation.CONCLUSION:Item selection of quality of life scale in patients with viral myocarditis was successfully conducted based on the clinical epidemiological data using a variety of statistical methods.

This article discusses the clinical researches about the Viral Myocarditis Associated with Emotional Changes in these years from the incidence,pathogenesis,treatment and other aspects.It could be found that the awareness of traditional Chinese medicine about this disease is that the emotion hurting along with the heart hurting.While the rules of treatments are nourishing heart,soothing liver and strengthening spleen,combining with the psychotherapy.

Objective:To research the TCM syndromes of viral myocarditis from the perspective of experts.Method:Based on the systematic summarizing previous literatures and clinical therapies,we designed the questionnaires on TCM syndromes of VMC,carried out questionnaire by the way of On-site survey.Results:The majority of the experts think that the VMC is closely related to cardiopalmus,pectoral stuffiness pain and epidemic febrile disease in the range of TCM,whose key factors of pathogenesis are toxin,deficiency of both qi and yin、static blood and phlegm,and main pathogenesis are heart invasion by toxin,deficiency of qi and yi,blockade of heart vessel,malnutrition of heart blood and vessel.The syndrome elements of TCM are toxin、deficiency of qi and yi as the dominance,accompanied by static blood and phlegm,while the syndrome differentiations are heart invasion by toxin、syndrome of deficiency of qi and yi and syndrome of blockade of heart vessel,and the rules of treatments are clearing toxicity and nourishing heart,replenishing qi and nourish yin and promoting blood circulation for removing blood stasis.The treatments of the type of heart invasion by toxin ofter takes the modified YinQiao Powder,while the types of deficiency of qi and yi and blockade of heart vessel take modified ShengMai Powder and ZhiGanCao Decoction and XueFu ZhuYu Decoction respectively.Conclusion:The VMC is a disease which belongs to the syndrome of deficiency of root cause and excess of manifestation in the range of TCM.The former is deficiency of both qi and yin of heart,while the later is toxin,accompanied by static blood and phlegm.

Objective To analyze the clinical features of the patients suffered from viral myocarditis(VMC) complicated with anxiety and depression symptoms.Methods By using self-rating anxiety scale(SAS) and self-rating depression scale(SDS),the anxiety and depression symptoms of 49 VMC patients were scored.The clinical symptoms and heart rate variability of the patients were analyzed.Results There were 17 patients complicated with anxiety,the incidence was 34.69%.There were 22 patients complicated with depression,the incidence was 44.90%.The difference in incidence of listlessness,spontaneous sweating,and headache was statistically significant in those who with and without anxiety(P0.05).The difference in incidence of listlessness was statistically significant in those who with and without depression(P0.05).The heart rate variability of patients with anxiety and depression was reduced,compared with patients without those symptoms,including the normal R-R interval SDNN24 and every 5min normal R-R interval SDANN,the difference of which was statistically significant in those who with and without anxiety(P0.05).The average heart rate,minimum heart rate,maximum heart rate of patients with anxiety were faster than those patients without that.The difference in average heart rate and maximum heart rate was statistically significant in those who with and without depression(P0.05).Conclusion VMC patients complicated with anxiety and depression have reduced heart rate variability and autonomic nerve dysfunction.

<正>病毒性心肌炎(viral myocarditis,VMC)是临床较为常见的心脏疾病之一,系由病毒感染所致的局限性或弥漫性心肌炎性病变。由于其临床表现和辅助检查结果缺乏特异性,且其发病机理尚未完全清楚,确诊相当困难,至今对VMC的诊断尚无国际统