中医临床路径治疗急性上呼吸道感染628例临床观察

发布时间：2018-11-15 11:30

【摘要】：目的观察中医临床路径治疗急性上呼吸道感染的临床疗效。方法按中医外感发热的辨证标准将该病分为风寒束表证、风热犯表证、暑湿袭表证、卫气同病证、热毒袭肺证5个证型,予中医临床路径协定方治疗,观察患者治疗4 h、24 h、72 h时发热、头痛、咽痛、全身酸痛、咳嗽改善情况。结果完成观察628例,其中风寒束表证102例、风热犯表证208例、卫气同病证217例、暑湿袭表证78例、热毒袭肺证23例。72 h痊愈485例,5例恶化转为肺炎。4 h、24 h、72 h退热有效率分别为46.66%、54.45%、93.47%。卫气同病证24 h退热有效率高于4 h(P0.05),其他证型72 h退热有效率高于24 h(P0.05)。卫气同病证4 h、24 h退热有效率优于风寒束表证、风热犯表证(P0.01),前者24 h退热有效率亦高于暑湿袭表证(P0.05)。4 h、24 h、72 h头痛、咽痛、全身酸痛治疗有效率分别为37.90%、66.08%、82.32%。风寒束表证、风热犯表证、暑湿袭表证及卫气同病证各症状24 h治疗有效率优于4 h(P0.05),风寒束表证、风热犯表证、卫气同病证及热毒袭肺证各症状72 h治疗有效率优于24 h(P0.05)。卫气同病证各症状4 h有效率44.24%高于风热犯表证33.65%(P0.05)。4 h、24 h、72 h咳嗽治疗有效率分别为34.55%、59.71%、73.73%。风寒束表证、风热犯表证、暑湿袭表证及卫气同病证咳嗽24 h治疗有效率高于4 h(P0.05)。风寒束表证、风热犯表证及卫气同病证咳嗽72 h治疗有效率高于24 h(P0.05)。结论中医临床路径治疗急性上呼吸道感染疗效确切。
[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.
【作者单位】：南京中医药大学附属医院;
【基金】：基金项目:江苏高校优势学科建设工程(95)
【分类号】：R259

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