中医“扶正祛邪”理论在手足口病防治中的应用意义

Discussion on the significance of the application of ＂Fuzheng Quxie＂ theory in the prevention and treatment of hand,foot and mouth disease

目的探讨中医温病学＂未病先防,既病防变;扶正祛邪,通腑泄毒,防传变＂理论在小儿手足口病临床防控中的应用意义。方法采用随机对照的方式将2013年1月～2016年12月周至县人民医院感染科门诊手足口病患儿2 000例分成对照组和观察组2组,各1 000例,其中对照组按照西医治疗法：即抗病毒,预防感染,对症支持输液治疗;观察组在对照组西医治疗的基础上对重症倾向患儿给予早期扶正祛邪、消食导滞、通便泄毒的银翘散及白虎汤加减治疗,或小儿化食丸＋儿童清热口服液或健儿消食口服液的早期中药汤剂或中成药干预治疗,比较2组患儿治疗的总有效率、疱疹消退时间以及门诊治疗时间。结果观察组患儿治疗总有效率显著高于对照组,退热时间、疱疹消退时间以及门诊治疗时间均显著低于对照组,差异具有统计学意义（P〈0.05）。结论针对手足口病,采用中医＂扶正祛邪,通腑泄毒,防传便＂理论能够有效提升治疗效果。

Objective To investigate the febrile diseases ＂prevention before disease,which lead to disease;Fuzhengquxie,Tongfu Xiedu,anti change＂ theory applied in clinical prevention and control of children with HFMD in significance.Methods A randomized controlled way from January 2013 to December 2016 of infection of HFMD 2 000 cases of outpatient medical records were divided into two groups,each of 1 000 cases,the control group with western medicine treatment method：antiviral,prevention of infection,symptomatic infusion treatment.Results The total efficiency of the observation group was significantly higher than the control group（P〈0.05）.The time of fever,the time of herpes removal and the time of outpatient treatment of the observation group were all lower than the control group,the difference were statistically significant（P〈0.05）.Conclusion For the foot mouth disease,traditional Chinese medicine ＂Fuzhengquxie,Tongfu Xiedu,anti Chuan＂ theory can effectively improve the therapeutic effect,reduce the rate of hospitalization,worthy of clinical application.