摘要
目的探讨中医药治疗流行性乙型脑炎(乙脑)轻型、普通型的临床疗效。方法将176例乙脑轻型、普通型患者随机分西医组68例、中医组60例和中西医结合组48例。西医组主要给予对症、支持、综合治疗;中医组毒蕴肺胃证给予白虎汤和银翘散加减、毒损脑络证给予清营汤加减,1～3岁患者,每日半剂;3岁以上患者,每日1剂;中西医结合组西医治疗同西医组治疗,中医治疗同中医组。3组均治疗15天。观察临床疗效、症状、体征改善情况及平均住院时间。结果中医组总有效率为98.30%,西医组为85.30%,中西医结合组为93.80%,中医组临床疗效明显优于西医组和中西医结合组(P<0.05);中医组体温、意识障碍、抽搐恢复正常时间及平均住院时间均明显短于西医组和中西医结合组(P<0.05);中西医结合组体温、意识障碍、抽搐恢复正常时间及平均住院时间均明显短于西医组(P<0.05)。结论中医药治疗乙脑轻型、普通型疗效肯定。
Objective To research the therapeutic effect of Chinese medicine for light or common type of epidemic encephalitis B. Methods Totally 176 patients with light or common type of epidemic encephalitis B were randomized into the western medicine group, Chinese medicine group and integrative medicine group, with 68, 60 and 48 in each. The western medicine group was given symptomatic, supportive and comprehensive treatment. The Chinese medicine group was given Chinese medicine granules according to the patterns： 1 to 3-year-old patients taken half dosage and patients over 3 years old taken one dosage. The granules were given to the patients before breakfast and after lunch or dinner. The integrative medicine group was given both western and Chinese medicine and the treatment was as same as other two groups. The treatment lasted for 15 days. The therapeutic effect, improvement of symptom and sign and average length of stay was observed. Results The total effective rate of the Chinese medicine group was 98.30%, which was superior to 85.30% of the western medicine group and 93.80% of the integrative medicine group （P〈0.05）. The recovery time of body temperature, unconsciousness and convulsion and average length of stay in the Chinese medicine group was significantly shorter than that in other two groups （P〈0.05）. The recovery time of body temperature, unconsciousness and convulsion and average length of stay in the integrative medicine group was significantly shorter than that in the western medicine group （P〈0.05）. Conclusion Chinese medicine is effective for light or common type of epidemic encephalitis B.
出处
《中医杂志》
CSCD
北大核心
2013年第12期1028-1030,共3页
Journal of Traditional Chinese Medicine
基金
国家中医药管理局传染病防治行业专项(200907001-8)
关键词
流行性乙型脑炎
毒蕴肺胃
毒损脑络
epidemic encephalitis B
toxin in the lung and stomach
toxin injuring cerebral vessels
