中西医结合治疗小儿重型麻疹60例疗效观察

Observation on curative effects of integrated traditional Chinese and western medicine on 60 children with severe measles

目的 :观察中西医结合治疗小儿重型麻疹的疗效。方法 :全部患儿均给予吸氧、补液、抗炎及平衡液和电解质、对症支持等综合治疗。中西医结合治疗组 6 0例辨证分型 ,分为麻毒闭肺型和热毒内陷型 ,在综合治疗基础上 ,加用犀角解毒汤化裁 ;西药对照组 42例单用上述综合治疗。结果 :治疗组显效率显著优于对照组 (χ2 =7.2 39,P<0 .0 1) ,总有效率优于对照组 ,但无显著差异 (χ2 =1.90 1,P>0 .0 5 ) ;出疹时间治疗组〔平均 (5 .39±0 .6 2 )日〕,明显短于对照组〔平均 (6 .2 5± 1.0 4)日 ,t=4.80 4,P<0 .0 1〕。结论 :用中医中药解毒、透疹法治疗重型麻疹具有优势 ,中西医结合治疗可以相辅相成 ,取长补短 。

Objective:To observe the clinically curative efficts of integrated traditional Chinese medicine(TCM)and western medicine(WM) on children severe measles.Methods:All cases were treated with general therapy,including inhaling oxygen,exhausting sputum,antiinfections,keeping the balance of water and electrolytes,the necessary symptomatic and supportive therapies.According to the syndrome differ classification of TCM 60 cases treated with integrated TCM WM group were divided into types of measles complicated by pneumonia(麻毒闭肺) and inward sinking of heat toxins(热毒内陷).Based on the conventionally general therapy,Xijiao Jiedu decoction (犀角解毒汤) for detoxification was used simultaneously.WM control group ( n =42) were treated with general therapy of western medicine alone.Results:The markedly effective rate and total effective rate in integrated TCM WM group were superior to those in WM group.In comparison between two groups the markedly effective rate was significantly different (χ 2=7 239, P <0 01),but there was not significant difference in total effective rate (χ 2=1 901, P >0 05).The times of eruption were (5 39±0 62) days in integrated TCM WM group and (6 25±1 04) days in WM group respectively.The difference was significant ( t =4 804, P <0 01).Conclusions:The treatment with TCM to eruption and detoxification for severe measles possesses superiority.The treatment with integrated TCM WM has the actions of supplement each other and learning from others′ strong points to offset one′s weaknesses meanwhile can highten the curative effects.