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目的:探索肾综合征出血热(HFRS)的中西医结合治疗的方法。方法:对101例HFRS患者分组进行中西医结合治疗,治疗组用苦黄、参麦注射液联合黄芪汤;对照组用利巴韦林联合甘利欣注射液。结果:治疗组50例与对照组51例用药后退热天数、主要症状、体征缓解无数相似(P>0.05);尿蛋白消失无数及肾功能恢复天数,对照组优于治疗组(P<0.05),在越期方面,越休克期治疗组优于对照组(P<0.05);越少尿期及从发热期直接进入多尿期,两组情况相似(P>0.05)。结论:苦黄、参麦注射液联合黄芪汤治疗HFRS与利巴韦林联合甘利欣注射液相比较,疗效无显著差别,但前者强于改善休克,后者强于改善肾功能。
Objective: To explore the treatment of hemorrhagic fever with renal syndrome (HFRS) by Integrative Chinese and Western medicine. Methods: A total of 101 patients with HFRS were treated with the combination of TCM and Western medicine. The patients in the treatment group were treated with Kuhuang and Shenmai injection combined with Astragalus soup. The control group was treated with ribavirin and Glycyrrhizin injection. Results: The number of antipyretic days, the main symptoms and signs of innuations were similar between the 50 cases in the treatment group and the 51 cases in the control group (P> 0.05), and the disappearance of urinary protein and the number of recovery days in the renal function group were better than those in the control group (P <0.05) (P <0.05). The more the oliguria period and the period from fever to the period of polyuria, the two groups were similar (P> 0.05). Conclusion: Kuhuang, Shenmai injection combined with astragalus soup treatment of HFRS and ribavirin combined with Gan Lixin injection compared efficacy was no significant difference, but the former is better than improving shock, the latter is better than improving renal function.