透疹化湿法治疗手足口病皮疹不典型病例的临床观察

Clinical observation on the treatment of atypical tetter of Hand Foot and Mouth Disease by promoting eruption and resolving dampness

目的在西药治疗基础上,联合中医透疹化湿法,抓住皮疹不典型病例尚未发展为重症的关键时期给予治疗,进行临床评价。方法将89例皮疹不典型的手足口病患儿随机分为2组,对照组42例,采用西医药治疗,治疗组47例,在对照组的基础上加透疹化湿法。观察两组好转率、转危率及病程。结果治疗组总有效率为97.8%,显著高于对照组的81.0%;治疗组转危率为2.1%,显著低于对照组的11.9%,平均病程明显缩短。结论透疹化湿法联合西药治疗手足口病皮疹不典型病例,有效地减少了并发症的发生,成为减少转危率的关键,从而降低了病死率,缩短了病程,同时也降低了患儿的痛苦。

Objective To observe the clinical treating effects on the basis of western medicine treatment, promoting eruption and resolving dampness was combined to cure the patients with atypical tetter at the crucial time before worsening. Methods 89 cases of HFMD with atypical tetter were divided randomly into 2 groups, of which 42 cases belonged to the control group using western medicine treatment, 47 cases belonged to the treatment group using additional treatment of traditional way of promoting eruption and resolving dampness, and ratios of getting better or worse were observed. Results It was found that a ratio of getting better in the treatment group is obviously higher than that in the control group, and getting worse was obviously lower than that in the control group, course significantly shortened. Conclusion We can conclude that the traditional way of promoting eruption and resolving dampness together with western medicine treatment of HFMD with atypical tetter efficacy is obvious.