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目的 评价中西医结合治疗严重急性呼吸综合征 (SARS)的临床疗效。方法 河北省确诊的2 1 3例SARS患者 ,以中西医结合治疗 (中西医结合组 ) 1 2 9例与单纯西医治疗 (西医组 ) 84例进行对照分析 ,观察 2组患者血象恢复正常时间、胸片阴影吸收时间和病死率、激素使用情况。结果 中西医结合组患者病死率 (2 .3 3 % )与西医组 (9.5 2 % )比较有显著性差异 (P <0 .0 5 ) ;血象恢复正常时间和胸片阴影吸收时间及甲强龙使用情况 2组比较无显著性差异 (P >0 .0 5 ) ,但临床数据表明 ,中西医结合组较单纯西医组具有改善趋势。结论 中西医结合组可促进血象恢复和胸片阴影吸收 ,减少激素使用 ,并且在降低病死率方面明显优于单纯西医组。
Objective To evaluate the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of severe acute respiratory syndrome (SARS). Methods Two hundred and seventy-one SARS patients diagnosed in Hebei Province were enrolled in this study. One hundred and ninety-nine patients with SARS (Integrative Medicine Group) and 84 patients with Western Medicine alone (Western Medicine Group) were enrolled in this study. The blood return time, Shade shadow absorption time and mortality, the use of hormones. Results The case-control group (2.33%) had significantly lower case fatality rate than the Western medicine group (9.5 2%) (P <0.05) There was no significant difference between the two groups (P> 0.05), but the clinical data showed that the integrated traditional Chinese and western medicine group had an improvement trend compared with the Western medicine group alone. Conclusion Integrative Medicine Group can promote blood recovery and chest shadow absorption, reduce the use of hormones, and reduce the mortality rate was significantly better than the Western group.