卫气营血辨证治疗白血病合并感染性发热*

[目的]探讨以温病学卫气营血理论为指导,中西医结合治疗白血病合并感染性发热的疗效。[方法]63例白血病合并感染性发热患者随机分为治疗组33例及对照组30例。两组均常规应用抗生素等对症支持治疗及原发病的治疗。全部患者根据症状体征分为卫分证、气分证、营分证、血分证,治疗组在西医治疗基础上采取卫气营血辨证治疗。观察患者用药后24 h内有效率、用药后3、7 d体温下降幅度。[结果]用药后24 h内治疗组总有效率明显高于对照组(P<0.05),两组比较有统计学差异。各证型治疗组较对照组体温下降幅度大(P<0.05)。[结论]中西医结合治疗较单用抗生素组退热有效率高,同时能更好的控制白血病发热患者的体温,对临床治疗白血病感染发热有所裨益。

Diffirentiation based on the four stages:wei qi ying xue is used in the treatment of leucemia patients with infectious fever

[Objective] Directed by the thoery of diffirentiation based on the four stages: wei qi ying xue in the school of seasonal febrile disease,we discussed the combination of TCM with western medicine in the treatment of leucemia patients with infectious fever.[Method] Sixty-three patients diagnosed as leucemia with infectious fever were divided into two groups(33 cases in the treatment group,30 cases in the matched group).Both groups were treated with symptomatic and supportive treatment such as antibiotics,as well as treatment aimed at their primary disease.All the patients were divided into weifen syndrome,qifen syndrome,yingfen syndrome,and xuefen syndrome according to their symptoms and physical signs.The treatment group were treated after analysing and differentiating the development of the four stages: wei,qi,ying and xue.Record the effective ratio of all patients in 24 hours after medication,and record the desending extent of the temperature in 3 days and in 7 days.[Result] The effective tatio of the treatment group was obviously better than the matched group after medication in 24 hours(P<0.05),the statistical change between the groups does make sense.The treatment group divided into types of syndromes had a terrier decreasing extent of temperature compared with the matched group(P<0.05),and the difference was sensible.[Conclusion] The group treated with the combination of TCM with western medicine is more effective in reducing the temperature than the group treated with single antibiotics,meanwhile the former group controls the temperature of leucemia patients better.This conclusion is good to the clinical treatment of leucemia patients with infectious fever.