中西医结合治疗重症中暑的临床研究  

Effect of Integrated TCM and Western Medicine on Severe Heat Stroke

作　　者：戴跃龙[1] 白慧颖[2] 王海虹[1] 宫秀琴[1] 

机构地区：[1]中国人民武装警察部队学院医院,河北廊坊065000 [2]河北省廊坊市中医医院,河北廊坊065000

出　　处：《中国中医急症》2012年第6期881-882,894,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：武警学院青年教师基金资助项目(WJXY20120316)

摘　　要：目的评价中西医结合治疗方案对重症中暑的治疗效果。方法重症中暑患者133例,其中热射病(暑厥证)62例,热衰竭(阳暑证)71例,随机分为中西医结合治疗组与对照组,对照组采用单纯西医治疗,中西医结合组在对照组基础上分别加用安宫牛黄丸、生脉饮治疗。对比分析各组高热持续时间、发热持续时间、症状体征持续时间及脏器功能损害发生情况。结果热射病(暑厥证)中西医结合组患者意识恢复较快、发热持续时间及高热持续时间明显短于对照组;MODS发生率亦低于对照组。热衰竭(阳暑证)中西医结合组发热持续时间与对照组无统计学差异,心动过速较对照组缓解较快,心肌酶异常发生率低于对照组。结论中西医结合治疗重症中暑疗效确切,优势明显,具有较好的应用前景。Objective： To observe the effect of integrated TCM and western medicine on serve heat stroke. Methods： 133 cases including 62 cases with Shujue syndrome and 71 cases with Yangshu syndrome were ran- domly divided into the integrated TCM and western medicine group and the control group. Besides that the routine therapies were used in 2 groups ,the A ngongniuhuang Pill and Shengmaiyin Oral liquid were used in the integrat- ed TCM and western medicine group. After treatment,the high fever duration,the fever duration,the symptoms lasting time and the organs function injuries were detected and compared in 2 groups. Results： In the Shujue syndrome patients, their consciousness recovery was more quickly. The high fever duration and the fever duration in the integrated group were shorter than those in the control group. Meanwhile, the incidence rate of MODS in the integrated group was lower than that in the control group. In the Yangshu syndrome cases,the fever duration of the integrated group was less than that in the control group. However,the tachycardia occurrence and the cardiac enzyme abnormity in the integrated group were lower than that in the control group. Conclusion： It is effective in the integrated TCM and western medicine on severe heat stroke.

关 键 词：重症中暑 热射病 热衰竭 中西医结合 安宫牛黄丸 生脉饮 

分 类 号：R594.12[医药卫生—内科学]