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Effects of integrative Chinese and Western medicine on arterial oxygen saturation in patients with severe acute respiratory syndrome
  
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KeyWord:severe acute respiratory syndrome  arterial oxygen saturation  integrative Chinese and Western medicine
Author NameAffiliationE-mail
Liu Bao-yan Clinical Evaluation Center, China Academy of TCM, China liuby@mail.cintcm.ac.cn 
Hu Jing-qing Clinical Evaluation Center, China Academy of TCM, China  
Xie Yan-ming Clinical Evaluation Center, China Academy of TCM, China  
Weng Wei-liang Xiyuan Hospital, China Academy of TCM, China  
Wang Rong-bing Beijing Municipal Ditan Hospital, China  
Zhang Yan-ping Xiyuan Hospital, China Academy of TCM, China  
Li Xiu-hui Beijing Municipal You’an Hospital, China  
Zhang Ke Beijing Municipal You’an Hospital, China  
Ren Ai-ming Beijing Friendship Hospital, China  
Li Jun 302 Hospital, PLA, China  
Wang Bao-guo Beijing Tiantan Hospital, China  
Tang Xu-dong Guang anmen Hospital, China Academy of TCM, China  
Wang Wei-dong Guang anmen Hospital, China Academy of TCM, China  
Ni Qing Guang anmen Hospital, China Academy of TCM, China  
Zhang Jin-ping Beijing Municipal Chest Hospital, China  
Wu Hong-jin Beijing Municipal Hospital of Integrative Traditional Chinese and Western Medicine, China  
Zhou Wei Wangjing Hospital, China Academy of TCM, China  
Geng Zhi Peking University, China  
He Yang-bo Peking University, China  
Liang Zhi-wei Guangdong Provincial Hospital of TCM, China  
He Li-yun Clinical Evaluation Center, China Academy of TCM, China  
Gao Fan-zhu Clinical Evaluation Center, China Academy of TCM, China  
Peng Jin Clinical Evaluation Center, China Academy of TCM, China  
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Abstract:
      Objective: To evaluate the effects of treatment of integrative Chinese and Western medicine(ICWM) on arterial oxygen saturation (SaO2) in patients with severe acute respiratory syndrome (SARS). Methods:The non-randomized, controlled trial was conducted on 447 SARS patients treated synchronouslywith western conventional treatment (WM group, n = 171 ) alone and ICWM (ICWM group, n = 276). Thechanges of the cases with normal level (≥95 % ) or abnormal level (<95 % ) SaO2 were observed dynamically. Results: In the 3rd-14th day of the therapeutic course, the percentage of patients with normal SaO2 in the ICWM group was higher than that in the WM group (OR = 0. 5178, P =0. 0038), and this tendency was more evident in patients of the severe type ( OR = 0.18, P = 0. 0001). However, the statistical significance of difference was only shown in patients for whom the ICWM treatment started in the early period after the onset (≤7 days after it, OR=0. 3803, P=0. 006), but not shown in those who received ICWM treatment later in the mid-late period of SARS (P>0.05). Conclusion: ICWM treatment, particularly when it is used for inter vention in the early stage, is beneficial for maintaining normal SaO2 in SARS patients.
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