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目的:观察公英膏外敷治疗痄腮的临床疗效。方法:选择108例腮腺炎患者,将其随机分成观察组58例和对照组50例。对照组患者采用抗病毒治疗,静滴利巴韦林,辅以抗炎、退热、补液等对症治疗,并口服抗病毒口服液等清热解毒的中药制剂。观察组患者在对照组的基础上加用公英膏外敷治疗,2天换药1次,治疗6~14天后比较两组的临床疗效。结果:经过治疗,所有患者发热、精神不振、食欲减退等一般症状均在7天内消失,腮部肿胀、疼痛等症状均在15天内消退,治疗期间无并发症发生,无院内感染事件,总有效率均为100.0%。但观察组患者发热、精神不振、食欲减退等一般症状消失时间为(2.75±1.25)天,对照组为(5.25±1.75)天,差异具有统计学意义(P<0.01);观察组患者腮腺肿胀、疼痛消退时间为(5.25±2.25)天,对照组为(9.25±3.75)天,差异具有统计学意义(P<0.01)。结论:在常规治疗的基础上加用公英膏治疗痄腮可促进疾病转归,加快临床症状缓解或消失,值得临床推广应用。
Objective: To observe the clinical efficacy of Gongyingpushu external application in treating gingival cheeks. Methods: 108 cases of mumps were selected and randomly divided into observation group (58 cases) and control group (50 cases). Control group patients with antiviral therapy, intravenous infusion of ribavirin, supplemented by anti-inflammatory, antipyretic, rehydration and other symptomatic treatment and oral anti-viral oral liquid detoxification of traditional Chinese medicine preparations. Patients in the observation group were treated with Gongyingpian external application on the basis of the control group, and the drug replacement was given in 2 days. The clinical efficacy of the two groups was compared after 6 to 14 days of treatment. Results: After treatment, the general symptoms of fever, depression and loss of appetite in all patients disappeared in 7 days. The swelling and pain of cheeks and other symptoms subsided within 15 days. No complications occurred during the treatment. There were no nosocomial infections, Efficiency is 100.0%. However, the disappearance time of the general symptoms such as fever, agitation and loss of appetite in the observation group was (2.75 ± 1.25) days compared with that of the control group (5.25 ± 1.75) days, the difference was statistically significant (P <0.01); the parotid gland swelling , Pain subsided time was (5.25 ± 2.25) days, and control group was (9.25 ± 3.75) days, the difference was statistically significant (P <0.01). Conclusion: The treatment of gingiva with Gongyingpian can promote the prognosis of disease based on routine treatment, and accelerate the clinical symptoms relieved or disappeared, which is worthy of clinical application.