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纸质出版日期:2013
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赵健雄, 何玉明, 马孝涛, 等. 清热解毒开窍醒神法治疗重症手足口病90例[J]. 中国实验方剂学杂志, 2013,19(17):316-319.
ZHAO Jian-xiong, HE Yu-ming, MA Xiao-tao, et al. 90 Cases of Heat-clearing Detoxifying Resuscitation Method on Patients with Severe Hand-foot-and-mouth Disease[J]. Chinese journal of experimental traditional medical formulae, 2013, 19(17): 316-319.
赵健雄, 何玉明, 马孝涛, 等. 清热解毒开窍醒神法治疗重症手足口病90例[J]. 中国实验方剂学杂志, 2013,19(17):316-319. DOI: 10.11653/syfj2013170316.
ZHAO Jian-xiong, HE Yu-ming, MA Xiao-tao, et al. 90 Cases of Heat-clearing Detoxifying Resuscitation Method on Patients with Severe Hand-foot-and-mouth Disease[J]. Chinese journal of experimental traditional medical formulae, 2013, 19(17): 316-319. DOI: 10.11653/syfj2013170316.
目的: 探讨清热解毒开窍醒神法治疗重症手足口病(HFMD)的临床疗效及对脑、心、肺等重要脏器的保护作用。方法: 90例重型HFMD患儿随机按数字法分为观察组和对照组各45例。对照组参照"手足口病诊疗指南(2010年版)"进行常规对症、支持治疗。观察组在此基础上
采用清热解毒开窍醒神法
分别给予热毒宁注射液静脉滴注
中药内服
中药灌肠治疗。观察患儿体温恢复正常时间
皮疹、疱疹消退时间
口腔溃疡愈合时间及住院时间。检测第0、3天血氧饱和度(SPO2)、氧分压(PaO2);检测第0、5天血清门冬氨酸氨基转移酶(AST)、乳酸脱氢酶(LDH)、肌酸激酶(CK)及肌酸激酶同功酶(CK-MB)水平
脑脊液神经元特异性烯醇酶(NSE)。结果: 观察组体温恢复正常时间
皮疹、疱疹消退时间
口腔溃疡愈合时间、住院时间均明显低于对照组(P<0.05);治疗后第3天观察组SPO2
PaO2高于对照组(P<0.01);治疗后第5天观察组血清CK和CK-MB水平低于对照组(P<0.05
P<0.01);治疗后第5天观察组脑脊液NSE水平低于对照组(P<0.01)。结论: 采用清热解毒
开窍醒神法治疗重症HFMD能缩短病程
该法对患儿的脑、心、肺等重要脏器具有较好的保护作用。
Objective: To discuss the clinical efficacy of heat-clearing and detoxifying resuscitation method on patients with severe hand-foot-and-mouth disease(HFMD) and the protection effect on brain
heart
lungs. Method: ninety patients with HFMD were randomly divided into observation group(n=45) and control group(n=45). Control group was given conventional therapy according to 'Hand-foot-mouth disease treatment guidelines (2010 Edition)’. Reduning injection and traditional Chinese medicine were added to observation group by using heat-clearing and detoxifying resuscitation method. Body temperature returned to normal time
Rash
bleb subsidise time
the healing time of oral ulcer and hospital stay of patients were observed. The SPO2 and PaO2 of the 0 day and 3th day were tested;the Aspartate aminotransferase(AST)
Lactate dehydrogenase(LDH)
Creatine kinase(CK)
Isoenzymes of creatine kinase(CK-MB) and Neuron specific enolase(NSE) of 0 day and 5th day were tested. Result: The body temperature returned to normal time
Rash
bleb subsidise time
the healing time of oral ulcer and hospital stay of patients in observation group were lower than control group (P<0.05).The SPO2 and PaO2 level of the 3th day in observation group were higher than control group (P<0.01);the CK and CK-MB level of the 5th day in observation group were lower than control group (P<0.05
P<0.01);the NSE level of the 5th day in observation group were lower than control group (P<0.01). Conclusion: Heat-clearing and detoxifying resuscitation method can Shorten the course of HFMD disease
and it can protect brain
heart
lungs of patients. It is worthy of clinical application.
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