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目的：观察中西医结合抢救肾综合征出血热（ＨＦＲＳ）重型急性肾功能衰竭（肾衰）的疗效，并用自行设计的血压、脉搏、尿量积分值评价疗效的临床意义。方法：采用十枣汤为主中西医结合抢救ＨＦＲＳ重型急性肾衰３１例（治疗组），并与西医治疗３０例（对照组）对照，比较２组治疗前后的血压、脉搏和尿量总积分值。结果：治疗组痊愈率为９０．３％（２８／３１），总有效率为９６．８％（３０／３１），病死率为３．２％（１／３１）；对照组分别为６６．７％（２０／３０）、７３．３％（２２／３０）和１０．０％（３／３０），２组间均有显著性差异（Ｐ均＜０．０１）。治疗组治疗前血压、脉搏及尿量总积分值为（７９．７±８．９）分，治疗后降为（２７．１±５．２）分（Ｐ＜０．０１），且治疗组下降程度明显优于对照组（Ｐ＜０．０１）。结论：以十枣汤为主的中西医结合方法抢救ＨＦＲＳ急性肾衰疗效满意；本记分法具有准确体现病情、评价疗效和判断预后的临床价值
Objective: To observe the curative effect of integrated traditional Chinese and western medicine in the treatment of severe acute renal failure (HFRS) with acute renal failure (renal failure), and to evaluate the clinical significance of the curative effect by the self-designed integral of blood pressure, pulse and urine volume. Methods: 31 cases of severe acute renal failure (HFRS) were treated with Decoction of Intensive Chinese and Western Medicine (TCM). The total score of blood pressure, pulse and urine volume before and after treatment were compared between the two groups value. Results: The cure rate was 90.3% (28/31) in the treatment group, the total effective rate was 96.8% (30/31) and the case fatality rate was 3.2% (1/31). The control group was 66%. 7% (20/30), 73.3% (22/30) and 10.0% (3/30) respectively. There was significant difference between the two groups (all P <0.01). The total score of blood pressure, pulse and urine volume before treatment in the treatment group was (79.7 ± 8.9) points, and after treatment, the total score was decreased to (27.1 ± 5.2) points (P0.01) Decreased significantly better than the control group (P <0.01). Conclusion: The treatment of acute renal failure with HFRS is satisfactory with the combination of traditional Chinese and western medicine based on the Decoction of Decoction. The clinical score of this score method accurately reflects the disease, evaluates the curative effect and predicts the prognosis