不明原因发热中医诊疗新思路

New Thoughts on TCM Diagnosing and Treating Unexplainable Fever

目的:观察益气养阴法对不明原因发热的疗效,探讨不明原因发热中医诊疗的新思路。方法:将38例不明原因发热患者随机分为治疗组20例、对照组18例,治疗组予对症退热治疗+益气养阴中药口服,对照组予对症退热治疗,疗程15 d。结果:治疗组在总有效率、中医证候疗效比较、中医证候积分、体温稳定时间、治疗0 d、5 d、10 d、15 d及治疗结束10 d后随访的平均体温、患者满意度方面,与对照组比较,均有统计学意义,治疗组优于对照组(P<0.01或P<0.05)。结论:益气养阴法治疗不明原因发热疗效肯定,患者满意度高,为不明原因发热的治疗提供了新的思路。

Objective：To observe the curative effect of supplementing qi and nourishing yin method in treating unexplainable fever. Methods：The 38 cases of unexplainable fever patients were randomly divided into treatment group （n=20）and control group （n=18）.Patients in treatment group were given symptomatic treatment as well as oral administration of traditional Chinese medicine of sup-plementing qi and nourishing yin.Patients in the control group only received symptomatic treatment.Course of treatment was15 days. Results：Compared with the control group,the treatment group had significant differences in following aspects：the total effective rate, TCM syndromes,symptom score,temperature stabilization time,average temperature and patients satisfaction on 0,5th,10th,15th day of treatment and the follow-up 10 days after the treatment.The treatment group benefitted more than the control group （P〈0.01 or P〈0.05 ）.Conclusion：Supplementing qi and nourishing yin method has significant curative effect on unexplainable fever and it enhances patients’satisfaction,provides a new way for the treatment of unexplainable fever.