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小柴胡汤治疗长期发热65例 被引量:5

Xiaochaihu Decoction in the Treatment of Long-term Fever for 65 Cases
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摘要 目的探讨小柴胡汤在长期发热患者临床治疗中的应用价值。方法收集2011年12月—2014年12月收治的130例长期发热患者的临床资料,根据入院顺序随机将130例患者分为观察组(n=65)和对照组(n=65),对照组采用西医常规抗菌药物联合非甾体抗炎药物治疗,观察组在对照组治疗基础上加用小柴胡汤治疗,连续治疗1个疗程(2周)后观察两组患者治疗有效率及复发率,并行统计学对比。结果经过2周连续治疗,观察组患者治疗有效率为92.3%,对照组为78.5%,二者相比,差异存在统计学意义(P<0.05)。随访1个月,观察组患者发热症状复发6例,复发率9.2%;对照组患者复发11例,复发率16.9%,二者相比差异亦存在统计学意义(P<0.05)。结论在常规西医抗炎治疗基础上加用小柴胡汤治疗长期发热患者能显著提高治疗有效率,疗效确切,用药安全,不良反应少,值得临床推广应用。 Objective To investigate the application value of Xiaochaihu decoction in the treatment of long-term fever. Methods Patients( 130 cases) with long-term fever in hospital from December 2012 to December 2014 were randomly divided into control group and treatment group, and each group had 65 cases. Patients in control group were treated by a combination of antimicrobial a-gent and Non-steroidal anti-inflammatory drugs, and Patients in treatment group were treated by Xiaochaihu decoction on the basis of control group treatment. The effective rates and relapse rates between the two groups were compared for 2 weeks of treatment. Results The effective rate of the treatment group was 92.3%, which was higher than 78.5% of the control group, and the difference was statistically significant( P〈0.05). Recurrence events were reported in 6( 9.2%) patients in the treatment group, and 11 cases(16.9%) in the control group after patients were followed up for 1 month, and the difference of relapse rates was statistically signifi-cant(P〈0. 05). Conclusion Xiaochaihu decoction combined with conventional medicines in the treatment of long-term fever has curative effect and less adverse reactions, and it is worth using in clinical practice.
作者 余德海
机构地区 解放军
出处 《中国中医药现代远程教育》 2016年第7期93-94,共2页 Chinese Medicine Modern Distance Education of China
关键词 小柴胡汤 长期发热 抗菌药物 Xiaochaihu decoction long-term fever antimicrobial agent
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