开闭固脱法辨治流行性出血热休克30例观察

Treatment of Shock in Epidemic Hemorrhagicfever with Consciousness--restoring and Collapse-resolving Therapy: A Compartive Study of 30 Cases as Against Western Drug Treated Cases

本文报道以中医辨证论治为依据,采用开闭固脱法治疗流行性出血热(EHF)休克30例,并与西药治疗53例对照,结果治疗组总有效率96.67％,对照组总有效率88.68％,无显著性差异。在临床观察中发现,与对照组相比,治疗组少尿期出现率低、尿蛋白复常时间短、病情缓解明显。作者认为辨证论治确是提高EHF休克抢救成功率的关键。

According to TCM classification. 30 patients with shock ofEHF were treated with consciousness -restoring and collapse-resolv-ing therapy, and contrasted with 53 similar patients treated byWestern medicine. The overall effective rate was 96. 67% in theTCM treated group and 88. 68% in Western medicine group. Therewas no significant difference between them. It was, however, ob-served that in TCM therapy group the incidence of oliguria waslower, its duration shorter. the negation of albuminuria sooner, andimprovement of general condition more speedily. It is suggested thatthe treatment based on TCM classification could be the key to theincrease in survival rate for EHF.