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目的:研究探讨小儿病毒性脑炎的急救方法及中西医结合治疗该病的临床效果。方法:选择2008年4月～2010年9月间我院小儿科收治的小儿病毒性脑炎患者170例,随机分为治疗组与对照组两组。治疗组80例,对照组90例。两组均给予常规急救治疗,治疗组再口服中药醒神开窍汤,其药物组成为:石膏6～9g、全蝎3～5g、白芷6～9g、人参3～5g、黄芩6～9g、钩藤9～10g、白芍6～9g、牡丹皮6～9g、桃仁6～9g、红花6～10g、夏枯草6～9g、菊花6～9g、制附子6～9(g因小儿年龄与体重的差异,故在用药剂量上亦有差异),每日l剂,水煎2次,合并煎液,浓缩至100ml,分2～3次口服,连用10天,观测疗效。结果:治疗组所有患者中,有75例痊愈,5例有效,没有无效患者,总治愈率高达93.7%,总有效率为100%;在对照组所有患者中,有70例痊愈,20例有效,0例无效,总治愈率为77.7%,总有效率为100%。治疗组的疗效比对照组更有优势,经卡方检验,x2=4.98,P值<0.05,差异较为显著。结论:对小儿病毒性脑炎患儿进行急救,并给予中西医结合治疗,可达到预期的疗效。
Objective: To study the emergency treatment of pediatric viral encephalitis and the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of the disease. Methods: 170 cases of pediatric viral encephalitis admitted to our hospital from April 2008 to September 2010 were randomly divided into treatment group and control group. 80 cases in the treatment group and 90 cases in the control group. The two groups were given conventional emergency treatment, the treatment group and then re-open the Chinese medicine to awake the Kai Kai soup, the drug is composed of: gypsum 6 ~ 9g, Scorpio 3 ~ 5g, Angelica 6 ~ 9g, ginseng 3 ~ 5g, Scutellaria 6 ~ 9g, 9 to 10 grams of rattan, 6 to 9 grams of white peony root, 6 to 9 grams of peony bark, 6 to 9 grams of peach kernel, 6 to 10 grams of safflower, 6 to 10 grams of prickly ash, 6 to 9 grams of prunella, 6 to 9 grams of chrysanthemum, 6 to 9 Body weight differences, so the dosage is also different), daily l agent, decoction 2 times, the combined decoction, concentrated to 100ml, divided into 2 or 3 times orally, once every 10 days to observe the effect. Results: Among all the patients in the treatment group, 75 cases were cured, 5 cases were effective and no invalid. The total cure rate was as high as 93.7% and the total effective rate was 100%. Among all the patients in the control group, 70 cases were cured and 20 cases were effective , 0 cases invalid, the total cure rate was 77.7%, the total effective rate was 100%. The treatment group has more advantages than the control group, the chi-square test, x2 = 4.98, P value <0.05, the difference was significant. Conclusion: The first aid for pediatric viral encephalitis and the combination of TCM and Western medicine can achieve the expected therapeutic effect.