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目的近年来布鲁氏菌病疫情大幅度回升,新发病人不断出现,对急性期病人的治疗极为重要。为了寻求有效的治疗方法,进行了本次的临床观察分析。方法急性期(或呀急性期)湿热证中药治疗原则以清热除湿,解毒扶正,采用茵陈汤根据不同症状进行加减用药。同时配用四环素每日2 g,分4次口服,21 d为1疗程;利福平6 g分2次口服,21 d为1疗程。慢性期虚证型,治疗原则补益气血、扶正祛邪,选用八珍汤加减进行辨证治疗。血瘀证治疗原则益肝脾肾、补气血、化痰止痛,选用独活寄生汤加减进行辨证治疗。结果治疗28例病人,痊愈19例,显效5例,有效2例,无效2例,总有效率92.8%以上。结论通过临床观察,中西医结合治疗布病疗效显著,值得在临床上推广应用。
Objective In recent years, the epidemic of brucellosis has risen dramatically, and new patients emerge continuously, which are extremely important for the treatment of acute patients. In order to seek effective treatment, this clinical observation and analysis. Methods Acute (or acute phase) damp-heat syndrome principle of traditional Chinese medicine to heat and dehumidification, detoxification and righting, Yin Yin Tang according to different symptoms of medication. At the same time with tetracycline daily 2 g, 4 times orally, 21 d for a course of treatment; rifampin 6 g 2 times orally, 21 d for a course of treatment. Chronic deficiency type, the principle of replenishing qi and blood, righting Quxie, the choice of Bazhen Decoction treatment. Blood stasis syndrome treatment principles liver and spleen and kidney, qi and blood, phlegm and analgesia, selection of independent living parasitic soup add and subtract syndrome differentiation treatment. Results Treatment of 28 patients, 19 cases cured, markedly effective in 5 cases, effective in 2 cases, 2 cases, the total effective rate of 92.8% or more. Conclusion Through clinical observation, the combination of traditional Chinese and Western medicine treatment of brucellosis significant effect, it is worth promoting in the clinical application.