72例登革热患者中医证治分析  

Analysis on TCM Syndromes and Treatment of 72 Patients with Dengue Fever

作　　者：黄郁斌[1] 段艳锋[1] 张保国[1] 杨小兰[1] 

机构地区：[1]暨南大学医学院附属黄埔中医院

出　　处：《山西中医》2015年第4期11-12,16,共3页Shanxi Journal of Traditional Chinese Medicine

摘　　要：目的:探讨登革热的中医证候特点、病因病机和辨证治疗规律。方法:回顾性分析我院2014年7月至2014年12月收治的登革热住院患者共72例,对其临床症状、体征、重要实验室检查、治疗方法、中医辨证论治等进行收集、整理与分析。结果:纳入分析的病例中医证型主要有:卫气同病、邪伏膜原、气血两燔、余邪未尽、气分热盛、热陷心包;采用中药汤剂辨证治疗38例,退热时间明显短于常规治疗组(P<0.01)。结论:本组登革热病例中医辨证以卫气同病、邪伏膜原、气血两燔证型多见;治宜清热解毒凉血、化湿运脾。Objective ： To explore the TCM syndrome characteristics, etiology and pathogenesis and differential treatment laws of Dengue fever. Methods ： To analyze retrospectively a total of 72 cases of patients with Dengue fever,which were hospitalized and treated from July 2014 to December 2014 in our hospital. To collect, collate and analyze the clinical symptoms, physical signs, important laboratory examinations, treatment methods and TCM differ- ential treatment etc. Results ： TCM syndrome types of cases included in analysis were mainly ： simultaneous occur- rence of syndromes of defensive Qi, syndrome of pathogen hidden in Moyuan, intense heat in both Qi and blood sys- tems,lingering remnant pathogen, excessive heat in Qi system,invasion of pericardium by heat. After 38 cases were treated differentially with TCD decoction, the antifebrile time was significantly shorter than the conventional treat- ment group （ P 〈 0. 001 ）. Conclusion ： TCM syndromes differentiations of dengue fever cases in this group are mainly more common syndrome types of simultaneous occurrence of syndromes of defensive Qi, syndrome of pathogen hidden in Moyuan, intense heat in both Qi and blood systems. Treatment should be by clearing away heat-toxin and cooling blood, removing dampness to activating the spleen.

关 键 词：登革热 温病 辨证论治 中医药疗法 

分 类 号：R373.33[医药卫生—病原生物学]