三焦玄府理论结合辨体论治观察高原居民急性上呼吸道感染伴高热的疗效  

Observation of the Effect of Sanjiao Xuanfu Theory Combined with Body Discrimination Theory on Acute Upper Respiratory Tract Infection with High Fever in Plateau Residents

作　　者：王新凯[1] 陈定潜 刘婷 高学军 WANG Xinkai;CHEN Dingqian;LIU Ting;GAO Xuejun(Chengdu Fifth People's Hospital,Sichuan Chendu 610075;Chen Dingqian national famous old Chinese medicine expert inheritance studio,Sichuan Chendu 610075;Ganzi prefecture Seda County People's Hospital,Sichuan Seda 626600)

机构地区：[1]成都市第五人民医院,四川成都610075 [2]陈定潜全国名老中医药专家传承工作室,四川成都610075 [3]色达县人民医院,四川色达626600

出　　处：《深圳中西医结合杂志》2024年第1期41-45,共5页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：陈定潜全国名老中医药专家传承工作室项目(中医中药人教函[202275号])。

摘　　要：目的:观察高原地区居民基于三焦玄府理论结合辨体论治思想,使用中药联合刺络放血治疗急性上呼吸道感染(AURI)伴高热的临床疗效。方法:选取2023年1月至2023年3月色达县人民医院收治的100例AURI伴高热的患者,按照治疗方式不同分为对照组和观察组,每组50例。对照组患者给予常规抗病毒及吸氧、止咳、水电解质平衡等治疗,观察组患者在对照组基础上接受中药联合刺络放血治疗,比较两组患者临床疗效、治疗前后中医证候积分、开始退热时间、发热总时间、退热后复发热比率、血清炎症因子水平及不良反应发生率。结果:观察组患者治疗总有效率高于对照组,不良反应发生率低于对照组,差异具有统计学意义(P<0.05);治疗后,观察组患者中医证候积分低于对照组,差异具有统计学意义(P<0.05);观察组患者退热后发热率低于对照组,退热时间和退热起效时间短于对照组,差异具有统计学意义(P<0.05);治疗后,观察组患者血清C反应蛋白(CRP)、降钙素原(PCT)、白细胞介素–6(IL–6)水平低于对照组,差异具有统计学意义(P<0.05)。结论:在高原地区基于三焦玄府理论结合辨体论治思想,使用中药联合刺络放血治疗AURI伴高热的患者,治愈率高,退热速度快,可以有效降低血清炎症因子水平,安全性高。Objective To observe the clinical efficacy of traditional Chinese medicine(TCM)combined with blood-letting puncture in the treatment of acute upper respiratory tract infection(AURI)with high fever in plateau residents based on the theory of Sanjiao Xuanfu combined with body discrimination theory.Methods A total of 100 patients with AURI with high fever treated in Ganzi prefecture Seda County People's Hospital from January 2023 to March 2023 were selected and divided into a control group and an observation group according to different treatment methods,with 50 cases in each group.The control group was given conventional antiviral treatment,oxygen inhalation,cough relief,water and electrolyte balance,and the observation group received TCM combined with blood-letting puncture treatment on the basis of the control group.The clinical efficacy,TCM syndrome score before and after treatment,the time of onset of fever,the total time of fever,the rate of recurrent fever after fever,the level of serum inflammatory factors and the incidence of adverse reactions were compared between the two groups.Results The total effective rate in the observation group was higher than that in the control group,and the incidence of adverse reactions was lower than that in the control group,the differences were statistically significant(P<0.05).After treatment,the TCM syndrome score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The fever rate in the observation group was lower than that in the control group,and the time of fever regression and onset of fever regression were shorter than those in the control group,the difference were statistically significant(P<0.05).After treatment,the serum levels of C–reactive protein(CRP)、procalcitonin(PCT)and interleukin–6(IL–6)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Based on the theory of Sanjiao Xuanfu and the thought of b

关 键 词：急性上呼吸道感染 高热 三焦玄府理论 辨体论治 刺络放血 高原地区 

分 类 号：R714.253[医药卫生—妇产科学]