小续命汤联合综合康复治疗重症手足口病恢复期疗效观察

Curative Effect Observation on XiaoXuming Tang Combined with Comprehensive Rehabilitation Treatment for Severe Hand-foot-and-mouth Disease in the Convalescence Phase

目的:观察小续命汤联合综合康复治疗重症手足口病恢复期的临床疗效。方法:选取符合纳入标准的手足口病患儿共64例,将其随机分成2组各32例。对照组给予针灸、推拿、营养神经等对症治疗,观察组在对照组治疗方案的基础上依据临床辨证给予小续命汤加减治疗,观察比较2组大运动、智力及语言恢复等的临床疗效,意识恢复、大运动恢复时间及综合康复治疗总时间。结果:观察组临床疗效总有效率96.88%,对照组81.25%,差异有统计学意义(P <0.05),提示观察组患儿大运动、智力及语言恢复的总有效率明显优于对照组。观察组意识恢复时间、大运动恢复时间及康复治疗总时间均明显短于对照组,差异均有统计学意义(P <0.05)。结论:小续命汤联合综合康复治疗可提高重症手足口病恢复期临床疗效,缩短病程,改善预后。

Objective:To observe the clinical effect of XiaoXuming tang combined with comprehensive rehabilitation treatment for severe hand-foot-and-mouth disease in the convalescence phase. Methods:Selected 64 children with hand-foot-and-mouth disease who met the inclusion criteria and randomly divided them into two groups,32 cases in each group. The control group was given symptomatic treatments such as acupuncture and moxibustionn,tuina,and nutritional nerves,while the observation group was additionally given modified Xiaoxuming tang based on clinical syndrome differentiation. Compared the clinical effect of gross motor, intelligence and language recovery,recovery time of consciousness and gross motor,and the total time of comprehensive rehabilitation treatment in the two groups. Results:The total clinical effective rate was 96.80% in the observation group and 81.25% in the control group,difference being significant(P<0.05). It indicated that the total effective rate of gross motor,intelligence and language recovery in the observation group was significantly better than that in the control group. The recovery time of consciousness and gross motor and the total time of rehabilitation treatment in the observation group were clearly shorter than those in the control group,differences being significant(P < 0.05). Conclusion:The application of XiaoXuming tang combined with comprehensive rehabilitation treatment can promote the clinical effect of severe hand-foot-and-mouth disease in the convalescence phase,shorten the course of disease and improve the prognosis.