中西医结合治疗甲型H1N1病毒性肺炎37例临床体会  

Clinical experience for treating 37 cases of influenza A H 1N1 viral pneumonia in the integrative medicine

作　　者：李荣唐 牛彦红[1] 黄玉梅[1] 李巧林[1] 

机构地区：[1]甘肃省张掖市人民医院,甘肃张掖734000

出　　处：《中医临床研究》2010年第19期60-61,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的：探索甲型H1N1流感的中西医治疗优势与差距;方法：对37例甲型H1N1病毒性肺炎临床诊断病例,随机的抽取7例进行咽拭子病毒核酸检测确诊为甲型H1N1流感病毒性肺炎.临床诊断病例在给予西药预防继发性细菌感染、平喘对症治疗的同时,依据舌脉症象,分期辨证,给予中药汤剂口服治疗;临床确诊病例在给予西药预防继发性细菌感染,平喘对症治疗的同时,给予神经氨酸酶抑制剂奥司他韦抗病毒治疗.结果：确诊病例除1例因呼吸衰竭转重症监护室外,余6例均治愈,平均住院天数15天,临床诊断病例30例,除2例因呼吸衰竭转重症监护室外,余28例治愈出院,平均住院天数12.5天;结论：中西医结合对重症甲型H1N1病毒性肺炎进行分期辨证论治与单纯西药抗病毒对症治疗相比,其疗效无显著差异,住院天数明显缩短.Objective： To explore TCM and western medicine of influenza A H 1N 1 viral pneumonia. Methods： Clinically diagnosed cases of 37 cases ofA H1N1 viral pneumonia, to choose 7 cases randomly detect as viral pneumonia A （H1N1） by throat swab viral nucleic acid from clinical diagnosis cases. The clinical diagnosis cases treated by western medicine and TCM acording to coated tongue and pulse tracings. Clinical definite cases treated by western medicine and neuramidinase catastaltic oseltarnivir. Results： Clinical definite 6 cases are cured after average 15 days except one. Clinical diagnosis 28 cases are cured after average 12.5 days except 2 ransfer to intensive care unit because respiratory failure. Conclusion： Curative effect of combination of TCM with western medicine and western medicine have no significant deviation.

关 键 词：甲型H1N1病毒性肺炎 奥司他韦抗病毒治疗 中药分期辨证施治 

分 类 号：R563.1[医药卫生—呼吸系统]