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外感发热中医急诊退热方案的研究——附906例临床资料分析 被引量:4

Research on Antipyretic Project of TCM Emergency Care for Exogenous Fever with Analysis of 906 Clinical Cases
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摘要 目的观察国家中医药管理局重点专科中医急诊外感发热方案治疗上呼吸道感染退热的疗效。方法采用多中心、队列试验的设计方法,906例患者中上呼吸道感染863例,甲型H1N1流感43例,分别用麻黄汤加味、葛根汤加减治疗风寒证141例,中成药双黄连口服液、疏风解毒胶囊治疗风热证178例,清肺消炎饮加减、上感颗粒治疗卫气同病证587例。结果起效时间:4h内即刻退热人数比26.15%~100.00%。解热时间:4h内治愈率17.69%~91.67%;72h治愈率89.57%~100%。临床症状改善率达80%以上。结论各协作组验证方案、方药,对上呼吸道病毒感染性发热有较好的退热和缓解外感发热伴随症状的作用。 Objective: To observe the antipyretic project of exogenous fever on the fever caused by upper respiratory tract infection in TCM emergency care of state administration of TCM.Methods: A multi-centers,cohort study was conducted.A total of 906 patients including 863 cases of upper respiratory tract infection and 43 cases of influenza A H1N1 subtype were separately treated by Mahuang Decoction and Gegen Decoction for 141 cases of wind and cold syndrome,Shuanghuanglian Oral Formulation and Shufengjiedu Capsule for 178 cases of ind and warm syndrome,Qingfeixiaoyan Decoction and Shanggan Granule for 578 cases of Wei and Qi syndrome.Results: On-set time: the instantly heat-reducing rate within 4h was between 100.00% and 26.15%.Antipyretic time: the rate of body-temperature recovering to normal within 4h was between 17.69% and 91.67%.The curative rate within 72h was between 89.57% and 100%.The improvement rate of clinical symptoms was above 80%.Conclusion: Clinical projects and medicine in each cooperation group have well efficacy on heat-reducing and accompanying symptoms relieving of viral upper respiratory tract infection.
出处 《中国中医急症》 2012年第1期1-3,76,共4页 Journal of Emergency in Traditional Chinese Medicine
基金 国家中医药行业重大科研专项(200807041)
关键词 外感发热 上呼吸道感染 甲型H1N1流感 多中心临床试验 急诊协作组治疗方案 Exogenous fever Upper respiratory tract infection Influenza A H1N1 subtype Multi-centers clinical trial Treatment project of emergency cooperation group
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参考文献6

  • 1王永炎.中医内科常见病诊疗指南[M].北京:中国中医药出版社,2008:256-320.
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二级参考文献4

  • 1中华人民共和国卫生部.甲型H1N1流感诊疗方案(2009年第三版)[EB/OL].http://www.mob.gov.cn/publicfiles/business/htmlfiles/mohyzs/s3586/200910/43111.htm,2009-10-13.
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  • 4陈灏珠.实用内科学[M]12版.北京:人民卫生出版社,2005.1746-1750.

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