90例手足口病临床特征及中医证候特征分析

Clinical feature and TCM syndrome character analysis of 90 cases with hand,foot and mouth disease

目的:探讨手足口病的临床特征和中医证候特征。方法:回顾性分析2009年3月至2011年6月确诊的90例手足口病患者,收集手足口病患者的症状、体征、舌象、脉象等资料,总结其临床特征及中医证候特征。结果:手足口病多以发热为首发症状,主要表现为发热和手、足、口腔等部位的皮疹或疱疹以及纳差症状;部分患者同时伴有呼吸系统、消化系统以及神经系统等症状,以呼吸系统及消化系统症状为主,神经系统症状主要出现于手足口病重症患者;实验室检查主要表现为血白细胞总数升高,肌酸激酶、肌酸激酶同工酶水平升高;所有病例经治疗均达临床痊愈出院,预后良好;手足口病发病病程中主要表现为脾肺湿热证和湿热薰蒸证,后期少部分出现脾肺气虚证。结论:手足口病的临床特征、中医证候特征具有一定的规律。

Objective： To analysis the clinical feature and TCM syndrome character of hand,foot and mouth disease（HFMD）.Methods： Retrospective analyze 90 cases with HFMD from March of 2009 to June of 2011,collect symptoms,sign,tongue picture,pluse condition and so on,and summarize its clinical feature and TCM syndrome character.Results： Fever was regarded first symptom in patients with HFMD,whose manifestations were fever,rash,herpes and poor appetite.Partly patients showed symptoms of respiratory system,digestive system and nerve system.Among them,nerve disorder emerged in critical patients.Experimental tests mainly showed total white cells rose,CK and CK-MB levels increased.All patients cured after treatment and had a good prognosis.TCM syndrome character analyzed two syndromes of dampness-heat in spleen lung and dampness-heat steaming were found in course of HFMD,while qi-deficiency in spleen and lung emerged in the later stage.Conclusion： The clinical feature and TCM syndrome character of HFMD were analyzed and the study provided evidence for the treatment of HFMD.