| 吴红金,赵锡银,王凡,王升启,刘娟,王斌,高月,李建民,王显,王国华,王瑞丽,赵兰才,刘婵,王建章,刘天琪.中西医结合治疗SARS疑似患者40例临床观察[J].中国中西医结合杂志,2003,(8):572-574 |
| 中西医结合治疗SARS疑似患者40例临床观察 |
| Clinical Observation on Treatment of 40 SARS Uncertain Patients with Integrative Traditional Chinese and Western Medicine |
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| DOI： |
| 中文关键词: 严重急性呼吸综合征 疑似 中西医结合治疗 |
| 英文关键词:severe acute respiratory syndrome uncertain treatment of integrative Chinese and western medicine |
| 基金项目:国家中医药管理局科研课题 (国中医药科非典专项 0 6号 );科技部“十五”863计划重大项目“非典型肺炎防治关键技术及产品研制”(2 0 0 3AA2 0 81 0 1 ) |
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| 中文摘要: |
| 目的 :观察SARS疑似患者临床症候的改善时间及中西医结合治疗效果。方法 :对 4 0例SARS疑似患者临床症候、胸片、舌象进行观察 ,并给予中西医结合治疗 ,同时对 2 0例疑似患者进行动态T细胞亚群、血清冠状病毒核酸及抗体测定。结果 :4 0例患者发热、汗出、乏力、干咳等主要症状及舌象均得到明显改善 ,胸片开始吸收时间为 (4 5 4± 2 85 )天 ,明显吸收时间为 (7 74± 4 6 8)天。其中 2 0例患者入院时T细胞亚群CD3、CD4 、CD8平均值低于正常 ,入院第 3天开始升高 ,6～ 10天逐步恢复到正常范围。 3例患者发现血清冠状病毒核酸阳性 ,2例冠状病毒抗体阳性 ,1例两者同时存在。结论 :中西医结合疗法可以改善SARS疑似患者临床症状 ,调节免疫功能。 |
| 英文摘要: |
| Objective:To observe the clinic symptom improving time in uncertain SARS patients and the therapeutic effect of integrative Chinese and western medicine (ICWM) in treating SARS. Methods:The clinic symptoms, chest film and tongue figure of 40 uncertain SARS patients treated with ICWM were observed and T-lymphocyte subsets, serum coronavirus nucleic acid and antibody in 20 patients were tested dynamically. Results:All the symptoms, such as fever, sweating, fatigue, cough without phlegm, etc. were obviously improved after treatment. Lung shadow in chest film began to be absorbed 4.54±2.85 days, and obviously absorbed 7.74±4.68 days after treatment. CD 3, CD 4 and CD 8 in 20 patients, which were lower than the normal range when hospitalization, began to increase 3 days later and gradually recovered to the normal in 6-10 days. Serum coronavirus nucleic acid was positive in 3 patients, coronavirus antibody positive in two and both were positive in one. Conclusion:ICWM can improve the symptoms and regulate the immune function in uncertain SARS patients. |
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