目的 评价五花汤对流行性出血性结膜炎的临床疗效.方法 将58例流行性出血性结膜炎患者随机分为五花汤组32例和对照组26例.五花汤组采用五花汤水煎服,每天3次,药液加入鲜青蒿浓汁熏蒸、冲洗患眼,每小时1次;对照组用利巴韦林滴眼液与妥布霉素滴眼液交替滴眼,每小时1次.7 d为1疗程,1个疗程后依据临床症状进行疗效评定.结果 五花汤组总有效率96.8%,平均疗程(3.1±1.77)d;对照组总有效率84.6%,平均疗程(5.4±1.56)d,二者比较差异有统计学意义(P＜0.05).结论 五花汤对流血型出血性结膜炎确有疗效,在治疗效果和缩短疗程方面较常规滴眼液治疗为优.%Objective To observe the therapeutic effects of Wuhua Tang curing epidemic hemorrhagic conjunctivitis. Methods 58 cases were randomly divided into 2 groups,32 cases were in Wuhua Tang(WHT) group,26 cases as control group. Wuhua Tang was applied to WHT group with being decocted in water for oral dose,3 times per day. The concentrated solution of fresh abrotani herba was mixed into the physic liquor of Wuhua Tang,and was provided to the trouble eyes for fumigation with high temperature, for rinse when cool, 1 time per hour. 1 to 2 drops of 0. 5% virazole gutta and tobrex gutta were alternately offered to control group, 1 time per hour. 7 days were a course. Their therapeutic effects were assessed by clinical symptoms. Results The total effective rate and average course were 96. 8%,(3. 1 ± 1. 77)d in the WHT group and 84.6%,(5.4 ± 1.56)d in the control group with significant difference (P<0. 05). Conclusion Wuhua Tang is an effective method for epidemic hemorrhagic conjunctivitis. The effects of Wuhua Tang are significantly superior to that of common gutta for epidemic hemorrhagic conjunctivitis on improving therapeutic efficacy and decurtating course of treatment.
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