567例手足口病临床疗效观察

Clinical Observation of the Therapeutic Efficacy on 567 Cases of Hand-Foot-Mouth Disease

目的:比较中西医结合治疗与单纯西医治疗手足口病临床疗效的差异。方法:567例手足口病患者随机分成两组,对照组282例,单纯采用西医治疗,治疗组285例,在西医治疗基础上加用中药汤剂联合治疗,观察两组患者退热时间,皮疹消褪时间,食纳改善时间,比较两组间治愈率,有效率差异。结果:治疗组与对照组有效率均为100%;治愈率治疗组88.1%,对照组86.2%,差异无统计学意义(P>0.05);重症患者治愈率治疗组为83.3%,对照组为74.1%,差异有统计学意义(P<0.05);退热时间治疗组为2.65±0.79天,对照组为3.20±0.82天,差异有统计学意义(P<0.05);食纳改善时间治疗组为2.28±0.85天,对照组为3.35±0.68天,差异有统计学意义(P<0.05);结论:中西医结合治疗手足口病在重症患者治愈率,退热时间,食纳改善时间上优于单纯西药治疗。

Objective： To observe the clinical therapeutic effect of integrated traditional and western medicine on 567 cases of hand-foot-mouth disease.Methods： 567 patients with hand-foot-mouth disease were randomly divided into two groups,285 in observation group were treated with combined Chinese and Western therapy,282 in the control group were treated with single Western therapy.Results： The effective rates in both groups were 100%.the cure rate in the observation group was 88.1%,in the control group was 86.2%,the difference was non-significant（P＆gt;0.05）.To severe case,the cure rate in the observation group was 83.8%,in control group was 74.1%,the difference was significant（P＆lt;0.05）.The period of time that the symptom of fever was vanished in the observation group was 2.65±0.79d,in control group was 3.20±0.82d,the difference was significant（P＆lt;0.05）.The period of time that the symptom of anorexia was ameliorated in the observation group was 2.28±0.85d,in control group was 3.35±0.68d,the difference was significant（P＆lt;0.05）.The symptom of rash disappeared almost at the same time in both groups.Conclusion： Traditional-western combined treatment can increase the cure rate of hand-foot-mouth disease in severe case and abatement the complaint rapidly.