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研究手足口病普通型的中医病因病机、诊疗规律以及治疗疗效,探讨手足口病普通型转化为重型的危险因素。方法:采取实用型随机对照试验研究方案,分为3组:西医对症治疗、中医治疗和中西医结合治疗组,随机入组,统一治疗方案,设定观察时间和项目。结果:共入组病例50例,病原学检查以EV71常见(54%);临床表现常见为:皮疹(100%),发热(82%),流涎(76%);生化检查异常常见为:白细胞升高(58%),心肌酶谱升高(41.1%),血糖升高(15.5%);3组治疗效果无明显差异。结论:手足口病的病因为外感时邪疫毒,内伤湿热蕴结,心脾积热所致,其病机基本符合温病传变规律,可按卫气营血加以辨证,其早期治疗尤为关键,将能有效的防止病情向重症传变。
To study the etiopathogenesis, diagnosis and treatment of common hand-foot-mouth disease in traditional Chinese medicine and its curative effect, and to explore the common type of hand-foot-mouth disease into heavy-duty risk factors. Methods: A practical randomized controlled trial was designed and divided into three groups: Western medicine symptomatic treatment, Chinese medicine treatment and Integrative Chinese medicine treatment group, randomized into groups, unified treatment plan, setting observation time and project. Results: A total of 50 patients were enrolled in this study. The etiology was common in EV71 (54%). The common clinical manifestations were rash (100%), fever (82%) and salivation (76%). Common biochemical abnormalities were leukocyte (58%), myocardial enzymes increased (41.1%), elevated blood sugar (15.5%); no significant difference between the three groups. Conclusion: The pathogenesis of hand, foot and mouth disease is exogenous pathogens when the epidemic flu, internal heat damp and heat Accumulation, heart and spleen heat caused by its pathogenesis basically consistent with the law of transmission of warm disease, according to Wei Qi Yingxue to syndrome differentiation, the early treatment is especially The key, will be able to effectively prevent the transmission of the disease to severe.