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目的观察中医药治疗手足口病普通型的临床疗效。方法采用随机队列研究方法,治疗组28例给予清热解毒、利湿透邪中药治疗,对照组136例在治疗组治疗方法的基础上给予抗病毒药、抗生素和激素等中西医结合治疗。观察两组治疗前后临床症状、体征变化和总有效率,评价单纯中医疗法的疗效。结果两组临床总疗效、体温复常时间、疱疹和(或)皮疹消退时间及治疗前后口腔黏膜积分差值比较,差异均无显著性(P>0.05);治疗组临床症状与体征完全消失时间和退热时间显著低于对照组(P<0.001)。结论清热解毒、利湿透疹方药对于手足口病普通型临床疗效可靠,而且有明显的退热、促进疱疹和(或)皮疹消退、减轻咽痛、缩短病程等综合效应。
Objective To observe the clinical efficacy of traditional Chinese medicine in the treatment of common hand-foot-mouth disease. Methods A randomized cohort study was conducted. Twenty-eight cases in the treatment group were treated with clearing away heat and toxic materials and dampness through evil Chinese herbs. 136 cases in the control group were given antiviral drugs, antibiotics and hormones in combination with traditional Chinese medicine and western medicine on the basis of the treatment methods. Before and after treatment, the clinical symptoms and signs and the total effective rate were observed to evaluate the curative effect of pure Chinese medicine therapy. Results There was no significant difference in the total clinical curative effect, body temperature recovery time, herpes and (or) rash subsidence time and oral mucosal integral difference between before and after treatment (P> 0.05). The clinical symptoms and signs disappeared completely And antipyretic time significantly lower than the control group (P <0.001). Conclusions Qingrejiedu, Lishui Tou rash prescriptions for the general type of hand, foot and mouth disease clinical efficacy is reliable, and there is a significant fever, and promote herpes and / or rash subsided, reduce sore throat, shorten the course of the comprehensive effects.