世界中医药

目的:探讨中医药防治流行性腮腺炎暴发流行的临床疗效与体会。方法:随机选择流行性腮腺炎暴发流行的2个场所分为对照组及观察组,对照组41例患者、213例高危易感人群给予西医西药防治,观察组49例患者、283例高危易感人群给予中医药防治,观察两组疗效及预防效果。结果:两组1个疗程后总有效率均100.00%,观察组治愈率87.76%明显优于对照组的60.98%,观察组治疗后中医症候评分(0.58±0.17)分较对照组(2.17±0.33)分降低更为明显,观察组自开始治疗至发热开始下降、发热完全消退、腮腺肿痛消退1/3、腮腺肿痛完全消退等所需时间均较对照组明显缩短,观察组预防成功率100.00%优于对照组的94.84%,差异均有统计学意义(P<0.05)。结论:中医药防治流行性腮腺炎暴发流行可预防高危易感人群发病,迅速缓解患者病情,减轻患者痛苦,缩短病程,疗效优异,值得临床推广应用。

English Summary:

To explore the clinical curative effect of TCM preventing and treating outbreak of epidemic mumps. Methods: Two locations were randomly selected which out broke epidemic mumps. Patients were divided into a control group and a observation group. The 41 patients in the control group and 213 high-risk susceptible people were given western medicine to treat and prevent. The 49 patients in observation group and 283 cases of high-risk susceptible people received TCM treatment and prevention. The therapeutic effects and preventive effects in both groups were observed. Results: After one treatment course, the total effective rates in both groups were 100%. The curative rate in observation group was 87.76%, which was significantly better than that of the control group (60.98%). After treatment, TCM symptom scores of observation group decreased more obviously (0.58 ± 0.17) than the control group (2.17 ± 0.33). The time it took to start decreasing fever, bring down fever completely, subside one thirds of swelling of steno’s gland and totally subside swelling of steno’s gland in the treatment group were obviously shorter than those of the control group. The successful preventive rates in observation group and control group were respectively 100% and 94.84%, which showed statistically significant difference (P<0.05). Conclusion: TCM may prevent the incidence of epidemic mumps among high-risk susceptible people, it can quickly relieve the patient's condition, alleviate patients’ pain, shorten disease course with satisfactory therapeutic effect. It is worth clinical application.

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