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[目的]观察中西医结合治疗急性上呼吸道感染疗效。[方法]使用随机平行对照方法,将90例门诊及住院患者按随机数字表法分为两组。对照组45例0.5g阿奇霉素+250mL0.9%葡萄糖,1次/d,静滴。20mL热毒宁+250mL0.9%葡萄糖,1次/d,静滴;0.2g利巴韦林+250mL0.9%葡萄糖,1次/d,静滴。治疗组45例①辨证分型;②肌肉注射;③推拿;西药治疗同对照组。连续治疗5d为1疗程。观测临床症状、体温变化、退热时间、不良反应。治疗1疗程(5d),判定疗效。[结果]治疗组治愈28例,有效15例,无效2例,总有效率95.56%。对照组治愈17例,有效16例,无效12例,总有效率73.33%。治疗组疗效优于对照组(P<0.05)。体温两组均有改善(P<0.05),治疗组改善优于对照组(P<0.05)。退热时间治疗组优于对照组(P<0.05)。[结论]中西医结合治疗急性上呼吸道感染效果显著,值得推广。
[Objective] To observe the curative effect of combining traditional Chinese and western medicine on acute upper respiratory tract infection. [Methods] Using randomized parallel method, 90 outpatients and inpatients were divided into two groups according to random number table. Control group, 45 patients with 0.5g azithromycin + 250mL0.9% glucose, 1 / d, intravenous infusion. 20mL heat poisoning + 250mL0.9% glucose, 1 / d, intravenous infusion; 0.2g ribavirin + 250mL0.9% glucose, 1 / d, intravenous infusion. 45 cases of treatment group ① syndrome differentiation; ② intramuscular injection; ③ massage; western medicine treatment with the control group. Continuous treatment of 5d for a course of treatment. Observed clinical symptoms, body temperature changes, fever time, adverse reactions. Treatment of 1 course of treatment (5d), determine the efficacy. [Results] The treatment group cured 28 cases, effective in 15 cases, 2 cases, the total effective rate was 95.56%. In control group, 17 cases were cured, 16 cases were effective and 12 cases were ineffective. The total effective rate was 73.33%. The treatment group was better than the control group (P <0.05). Body temperature improved in both groups (P <0.05), the treatment group improved better than the control group (P <0.05). Antipyretic time treatment group than the control group (P <0.05). [Conclusion] Integrative treatment of acute upper respiratory tract infection is effective and worth promoting.