中医药为主治疗“非典”患者康复一年后影像学追踪  

Image Tracking Survey of Recovered Sars Patients One-Year after Treatment Mainly with Traditional Chinese Drugs

作　　者：钟嘉熙[1] 陈银环[1] 黄勇[1] 杨贤卫[1] 朱敏[1] 吴智兵[1] 左俊岭[1] 刘南[1] 叶志中[1] 田平[1] 朱丹[1] 

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《陕西中医学院学报》2005年第5期9-11,共3页Journal of Shaanxi College of Traditional Chinese Medicine

基　　金：国家中医药管理局"非典"科研资助项目(项目批准号07);国家自然科学基金资助项目(项目批准号30340017)

摘　　要：目的追踪中医药为主治疗“非典”患者康复出院一年后肺部及髋关节影像学表现。方法对我院治愈出院一年后的33例“非典”患者行胸部螺旋CT扫描及双髋关节X线、MRI扫描等检查。结果33例“非典”随访者中胸部CT扫描有21例(63.64%)无异常、12例(36.36%)异常;髋关节X线检查发现30例(90.91%)无异常、3例(9.09%)异常;双髋关节MRI提示26例(78.79%)无异常,7例(21.21%)异常。结论本组中医药为主治疗的“非典”患者康复出院一年后,髋关节影像学随访观察未见与SARS疾病或激素治疗后相关并发症或后遗症;肺部影像学随访大多数无异常,少部分异常表现多与有基础病史、年龄等有关,也不排除“非典”疾病本身发病后所残留的部分纤维化。我们认为中医药为主治疗“非典”不仅有较好的疗效,而且肺部残留的纤维化、股骨头缺血性坏死的发病率均明显较低。Objective To trace pulmonary and hipbone joint image findings of SARS recovered persons mainly treated by traditional Chinese medicine after a year discharge from hospital. Methods 33 SARS recovered persons discharged from our hospital after a year were checked respectively by the chest CT,double hipbone joint X-rays and MRI. Results Among 33 cases, there are 21（63.64%）normal and 12（36.36%）abnormal eases by chest CT, 30（90.91% ）normal and 3（9.09% ）abnormal cases by hipbone joint X - rays, 26 （78.79 % ）normal and 7（21.21% ）abnormal easesby MRI. Conclusion The findings of image among 33 SARS recovered persons who were discharged from our hospital after a year is more normal, less abnormal, and the abnormal findings is relation to the relevant foundation disease and age, not excluding the negative influence of SARS disease itself. We consider that the curative effect of SARS main treated by TCM is not only good but also less incidence of a disease in lung remain fibrosis or femoral head ischemic osteonecrosis.

关 键 词：中医药 传染性非典型肺炎 影像 追踪 

分 类 号：R254.3[医药卫生—中医内科学]