三仁汤在湿温病中的临床疗效观察.docVIP

三仁汤在湿温病中的临床疗效观察 　　【摘要】 目的：观察三仁汤治疗湿温病的临床疗效。方法：将177例经常规西医治疗疗效欠佳的湿温病患者纳入研究，之后给予三仁汤加减治疗，并停用其他治疗措施。15 d后观察疗效。结果：痊愈138例，好转29例，无效10例，痊愈率77.97%，总有效率94.35%。其中痊愈病例最短用药3 d，最长用药15 d，平均（8.75±3.64）d；体温降至正常所需时间最短1 d，最长7 d，平均（3.83±2.14）d。有效病例服药时间均达到15 d，体温均降至正常，体温降至正常最短5 d，最长13 d，平均（6.41±2.85）d。结论：三仁汤治疗湿温病疗效显著，值得临床推广 【关键词】 湿温病； 三仁汤； 疗效 中图分类号 R254.2 文献标识码 B 文章编号 1674-6805（2015）21-0150-02 【Abstract】 Objective：To observe the clinical efficacy of Sanren Decoction in the treatment of damp warm diseases.Method： 177 patients with epidemic wet febrile diseases with poor curative effect after the treatment of routine western medicine were studied， then gave them the Sanren Decoction for treatment， and stop using other treatment measures. The clinical efficacy after 15 days was observed.Result： 138 cases were cured， 29 cases improved， 10 cases were ineffective， cure rate was 77.97%， the total efficiency rate was 94.35%. The shortest healing cases using medication was for 3 days， the longest was 15 days， the average was （8.75±3.64）days. The shortest time of the temperature dropped to the normal was 1 day， the longest was 7 days， the average was （3.83±2.14）days. The taking medicine time of the effective cases was 15 days， the body temperature were returned to normal， the shortest time of body temperature dropped to normal was 5 days， the longest was 13 days， the average was （6.41±2.85）days.Conclusion：The effect of Sanren decoction in the treatment of wet warm disease is significant， which is worthy of clinical application. 【Key words】 Wet warm disease； Sanren Decoction； Curative effect First-authors address：Shimenn County Red Cross Hospital，Shimen 415300，Hunan doi：10.14033/j.cnki.cfmr.2015.21.082 湿温病为南方地区夏秋季节常见疾病，因该地区夏秋季气候潮湿、炎热，民众喜食冷饮，致湿聚郁而化热而致病[1]。该病发病缓慢，起病后病程缠绵难愈，严重影响患者的日常生活和正常工作。从现代医学角度而言，湿温病包括呼吸道感染以及伤寒、副伤寒等[2]，但不少患者经常规西药治疗后往往不能痊愈，而给予中药治疗常可达到满意的疗效。笔者近3年来于门诊采用三仁汤加减治疗了177例西医治疗效果欠佳的湿温病患者，临床取得了满意的疗效。现报告如下 1 资料与方法 1.1 一般资料 全部病例来源于2011年6月-2014年6月本科门诊收治患者，将中医诊断为湿温病的患者纳入