严重急性呼吸综合征41例临床特征与中西医结合治疗

Clinical characteristics of 41 cases with SARS and treatment of integrated TCM and WM

[目的]观察严重急性呼吸综合征 (SARS)的临床特征及中西医结合治疗疗效。[方法]在西医对症治疗、抗菌、抗病毒、吸氧和辅助治疗基础上 ,根据患者全部症状、体征、舌苔、脉象所出现的频率进行辨证 ,在早期和中期以白虎加苍术汤加味或三仁汤加味 ,恢复期以清暑益气汤加味治疗。[结果]41例患者中39例(95.10% )痊愈出院 ,1例(2.44% )恢复期 ,1例(2.44% )死亡。其中服用中药患者发热、憋气、胸闷等症状改善均明显好于单纯西药治疗者 ,同时胸片表明服用中药可促进炎症吸收 ,中药并可防止激素减量后的反跳。[结论]中西医结合治疗SARS疗效较好 ,值得进一步深入研究。

To observe the clinical characteristics of 41 cases with SARS and the effect of integrated TCM and WM treatment. The patients were differentiated according to the frequency of symptoms, signs, tough fur and pulse based on the western medical treatment of expectant treatment, antibiotic, anti_virus, hormone,oxygen inhalation and assisted respiration.Baihu Tang (White Tiger Decoction) Plus Cangzhu (Rhizoma Atractylodis) or modified San Ren Tang (Decoction of Three Kinds of Seed) was given at the early and middle stages and modified Qingshu Yiqi Tang (Decoction for Clearing Away Summer_Heat and Benefiting Energy) was given during the recovery stage. Among 41 cases, 39 cases were cured(95.10%),1 at recovery stage(2.44%) and 1 dead (2.44%).The improvement of the symptoms such as fever, short breath and the stuffy sensation in the chest for the patients being treated by integrated traditional Chinese and western medicine was more obvious than that of the patients being only treated by western medicine. The X_ray of the chest showed that the Chinese herbal treatment could help to absorb the infection and prevent the rebound phenomenon after the extenuation of the hormone.[Conclusion]The therapeutic effect of treating SARS by integrated traditional Chinese and western medicine is effective and worth researching further.