Abstract:Objective: To investigate the therapeutic effect of sodium creatine phosphate on viral myocarditis in children and the effect on myocardial enzyme and troponin level. Methods: 94 children with viral myocarditis admitted to our hospital between March 2017 and October 2018 were selected as the subjects of the study. With the consent of the family members of the children, the children were divided into control group and observation group by simple random digital table method. Routine treatment and routine treatment combined with sodium creatine phosphate therapy were performed respectively. The therapeutic effects of the two groups were compared, and the levels of myocardial enzymes and troponin were compared between the two groups. Results: The total effective rate of the observation group was higher than that of the control group (P<0.05), and the CK,CK-MB,LDH,AST level of the two groups decreased after treatment (P1 <0.01, P2 <0.01), and the total effective rate of the observation group was higher than that of the control group (P<0.05). The comparison between the two groups showed that there was no significant difference in myocardial enzyme level between the two groups before treatment (P>0.05). After treatment, the level of CK,CK-MB,LDH,AST in the observation group was lower than that in the control group, the difference was statistically significant (P<0.01), but there was no significant difference in the level of cTnI between the two groups before treatment (P>0.05). After treatment, the level of cTnI in the observation group was significantly lower than that in the control group. Conclusion: In the treatment of viral myocarditis in children, sodium creatine phosphate has obvious therapeutic effect, can effectively reduce the level of myocardial enzymes and troponin, improve the prognosis of children, and is worthy of clinical promotion.
马科, 寇艳, 卢蓉, 李元霞, 杨茜. 磷酸肌酸钠治疗小儿病毒性心肌炎的疗效及对心肌酶和肌钙蛋白水平的影响[J]. 河北医学, 2020, 26(2): 190-193.
MA Ke, KOU Yan, LU Rong, et al. Efficacy of Sodium Creatine Phosphate in Treatment of Viral Myocarditis in Children and Its Effect on Myocardial Enzyme and Troponin Levels. HeBei Med, 2020, 26(2): 190-193.
[1] Niu L , Li C , Wang Z , et al. Effects of the MAPK pathway and the expression of CAR in a murine model of viral myocarditis[J]. Experimental and Therapeutic Medicine, 2017,13(1):230~234. [2] 李家宜.小儿病毒性心肌炎诊断标准[J].中国实用儿科杂志,1996,(5):316. [3] 徐慧,牛玲.左卡尼汀联合生脉注射液治疗小儿病毒性心肌炎疗效及对血清心肌肌钙蛋白Ⅰ与肌酸激酶同工酶水平的影响[J].河北医学,2017,23(12):2076~2079. [4] 泮慧俐,陈婉斐,宋伟,等.大剂量维生素C辅助免疫球蛋白对感染病毒性心肌炎患者ICAM-1与MIP-1á及NGF的影响研究[J].中华医院感染学杂志,2017,27(22):5064~5067. [5] 白涛敏,张西嫔,卫丽.血清心肌肌钙蛋白,丙二醛及超氧化物歧化酶在病毒性心肌炎患儿临床诊治中的价值分析[J].中国临床医生杂志,2017,45(12):100~103. [6] 蒙小燕.磷酸肌酸钠在手足口病并发心肌损害的临床效果观察及对机体免疫的影响研究[J].中国医学工程,2018,26(2):76~79. [7] 黎建云.病毒性心肌炎患儿心肌酶谱改变研究[J].山西医药杂志,2019,48(1):84~86. [8] 杜颖颖,舒波儿.血清心肌肌钙蛋白和抗心肌抗体对病毒性心肌炎的诊断和预后参考价值分析[J].中国卫生检验杂志,2019(11):1369~1371. [9] 刘春,周慧,蒋海清.磷酸肌酸钠治疗儿童病毒性心肌炎的临床疗效及其作用机制[J].实用心脑肺血管病杂志,2017(10):142~144. [10] 林万龙,陈瑶,杨剑辉.儿童辅助治疗药物磷酸肌酸钠专项点评前后合理性比较[J].中国医院药学杂志,2017,37(5):478~481. [11] 王翠红.喜炎平注射液联合磷酸肌酸钠治疗小儿病毒性心肌炎的临床研究[J].现代药物与临床,2017,32(6):1039.