567 例手足口病临床疗效观察

目的:比较中西医结合治疗与单纯西医治疗手足口病临床疗效的差异。方法:567例手足口病患者随机分成两组,对照组282例,单纯采用西医治疗,治疗组285例,在西医治疗基础上加用中药汤剂联合治疗,观察两组患者退热时间,皮疹消褪时间,食纳改善时间,比较两组间治愈率,有效率差异。结果:治疗组与对照组有效率均为100%;治愈率治疗组88.1%,对照组86.2%,差异无统计学意义(P>0.05);重症患者治愈率治疗组为83.3%,对照组为74.1%,差异有统计学意义(P<0.05);退热时间治疗组为2.65±0.79天,对照组为3.20±0.82天,差异有统计学意义(P<0.05);食纳改善时间治疗组为2.28±0.85天,对照组为3.35±0.68天,差异有统计学意义(P<0.05);结论:中西医结合治疗手足口病在重症患者治愈率,退热时间,食纳改善时间上优于单纯西药治疗。

Clinical Observation of the Therapeutic Efficacy on 567 Cases of Hand-Foot-Mouth Disease

Objective: To observe the clinical therapeutic effect of integrated traditional and western medicine on 567 cases of hand-foot-mouth disease.Methods: 567 patients with hand-foot-mouth disease were randomly divided into two groups,285 in observation group were treated with combined Chinese and Western therapy,282 in the control group were treated with single Western therapy.Results: The effective rates in both groups were 100%.the cure rate in the observation group was 88.1%,in the control group was 86.2%,the difference was non-significant(P>0.05).To severe case,the cure rate in the observation group was 83.8%,in control group was 74.1%,the difference was significant(P<0.05).The period of time that the symptom of fever was vanished in the observation group was 2.65±0.79d,in control group was 3.20±0.82d,the difference was significant(P<0.05).The period of time that the symptom of anorexia was ameliorated in the observation group was 2.28±0.85d,in control group was 3.35±0.68d,the difference was significant(P<0.05).The symptom of rash disappeared almost at the same time in both groups.Conclusion: Traditional-western combined treatment can increase the cure rate of hand-foot-mouth disease in severe case and abatement the complaint rapidly.