【摘要】：目的觀察中醫(yī)臨床路徑治療急性上呼吸道感染的臨床療效。方法按中醫(yī)外感發(fā)熱的辨證標(biāo)準(zhǔn)將該病分為風(fēng)寒束表證、風(fēng)熱犯表證、暑濕襲表證、衛(wèi)氣同病證、熱毒襲肺證5個(gè)證型,予中醫(yī)臨床路徑協(xié)定方治療,觀察患者治療4 h、24 h、72 h時(shí)發(fā)熱、頭痛、咽痛、全身酸痛、咳嗽改善情況。結(jié)果完成觀察628例,其中風(fēng)寒束表證102例、風(fēng)熱犯表證208例、衛(wèi)氣同病證217例、暑濕襲表證78例、熱毒襲肺證23例。72 h痊愈485例,5例惡化轉(zhuǎn)為肺炎。4 h、24 h、72 h退熱有效率分別為46.66%、54.45%、93.47%。衛(wèi)氣同病證24 h退熱有效率高于4 h(P0.05),其他證型72 h退熱有效率高于24 h(P0.05)。衛(wèi)氣同病證4 h、24 h退熱有效率優(yōu)于風(fēng)寒束表證、風(fēng)熱犯表證(P0.01),前者24 h退熱有效率亦高于暑濕襲表證(P0.05)。4 h、24 h、72 h頭痛、咽痛、全身酸痛治療有效率分別為37.90%、66.08%、82.32%。風(fēng)寒束表證、風(fēng)熱犯表證、暑濕襲表證及衛(wèi)氣同病證各癥狀24 h治療有效率優(yōu)于4 h(P0.05),風(fēng)寒束表證、風(fēng)熱犯表證、衛(wèi)氣同病證及熱毒襲肺證各癥狀72 h治療有效率優(yōu)于24 h(P0.05)。衛(wèi)氣同病證各癥狀4 h有效率44.24%高于風(fēng)熱犯表證33.65%(P0.05)。4 h、24 h、72 h咳嗽治療有效率分別為34.55%、59.71%、73.73%。風(fēng)寒束表證、風(fēng)熱犯表證、暑濕襲表證及衛(wèi)氣同病證咳嗽24 h治療有效率高于4 h(P0.05)。風(fēng)寒束表證、風(fēng)熱犯表證及衛(wèi)氣同病證咳嗽72 h治療有效率高于24 h(P0.05)。結(jié)論中醫(yī)臨床路徑治療急性上呼吸道感染療效確切。
[Abstract]:Objective to observe the clinical effect of TCM clinical pathway in the treatment of acute upper respiratory tract infection. Methods according to the syndrome differentiation standard of external fever in TCM, the disease was divided into five syndromes: wind-cold bundle syndrome, wind-heat invasion syndrome, summer-dampness syndrome, Wei Qi syndromes, heat toxin attack on lung syndrome, and was treated with traditional Chinese medicine clinical path agreement formula for 4 hours. Fever, headache, sore throat, sore whole body and cough improved at 24 h or 72 h. Results 628 cases were observed, including 102 cases of wind-cold bundle syndrome, 208 cases of wind and heat violation syndrome, 217 cases of Wei Qi syndromes syndrome, 78 cases of heat and dampness attack syndrome, 23 cases of heat poison attack on lung syndrome. 485 cases were cured in 72 h, 5 cases turned to pneumonia for 24 h. The effective rate of antifebrile in 72 hours was 46.66 and 54.45 and 93.47, respectively. The effective rate of antipyretic in 24 h was higher than 4 h (P0.05), and the effective rate of 72 h in other syndromes was higher than 24 h (P0.05). The effective rate of antipyretic for 4 h and 24 h in the same disease syndrome of Wei Qi was better than that of the syndrome of wind-cold bundle and wind heat violation (P0.01). The effective rate of antipyretic in the former 24 hours was also higher than that in the syndrome of dampness attack in summer heat (P0.05). The headache and pharynx were found in 24 hours after 24 hours of heat attack (P0.05). The effective rates of systemic pain treatment were 37.90% and 66.08%, 82.32%, respectively. The effective rate of 24 h treatment for symptoms of wind-cold bundle syndrome, wind-heat violation syndrome, summer-dampness attack syndrome and Wei Qi syndromes syndrome was better than 4 hours (P0.05). The effective rate was better than 24 hours (P0.05). The effective rate of 4 h symptoms of Wei Qi syndromes was 44.24% higher than that of wind heat syndrome 33.65% (P0.05). The effective rate of cough treatment for 24 h or 72 h was 34.55% and 59.71% respectively. The effective rate of cough in 24 hours was higher than that in 4 hours (P0.05). The effective rate of cough for 72 hours was higher than that in 24 hours (P0.05). Conclusion TCM clinical pathway is effective in treating acute upper respiratory tract infection.
【作者單位】： 南京中醫(yī)藥大學(xué)附屬醫(yī)院;
【基金】：基金項(xiàng)目:江蘇高校優(yōu)勢(shì)學(xué)科建設(shè)工程(95)
【分類(lèi)號(hào)】：R259

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