CAJ | 학술논문

目的：通过回顾性研究，总结流行性乙型脑炎的中医证候特点，为临床诊治提供参考依据。方法收集2013年集中收治的85例流行性乙型脑炎病例临床信息，填写《脑炎脑膜炎中医临床信息采集表》，分析归纳其中医证候特征。结果中医证候以发热、恶心、昏迷、恶寒、寒战、头痛、呕吐、萎靡、抽搐、嗜睡为主，证型主要是气营两燔型、卫气同病型。结论本次研究发现乙脑病例以气营两燔型为主，病情凶险，而卫气同病型则预后良好，可见在治疗上使其能在气分阶段得以扭转或截断是相当重要的。
목적：통과회고성연구，총결류행성을형뇌염적중의증후특점，위림상진치제공삼고의거。방법수집2013년집중수치적85례류행성을형뇌염병례림상신식，전사《뇌염뇌막염중의림상신식채집표》，분석귀납기중의증후특정。결과중의증후이발열、악심、혼미、악한、한전、두통、구토、위미、추휵、기수위주，증형주요시기영량번형、위기동병형。결론본차연구발현을뇌병례이기영량번형위주，병정흉험，이위기동병형칙예후량호，가견재치료상사기능재기분계단득이뉴전혹절단시상당중요적。
Objective To summarize the characteristics of TCM syndrome of epidemic encephalitis B by retrospective analysis,provide the reference for the clinical diagnosis and treatment. Methods A form of collecting TCM syndrome was disigned and filled.Clinical date were collected from 85 cases of epidemic encephalitis B. We analysised and con-cluded the characteristic of TCM syndrome. Results The main TCM syndrome included fever and nausea ,coma and aversion to cold,shiver, vomiting,sag,convulsion,drowsiness.The classification of TCM syndromes were two types. One was the harm with QIFEN and YINGFEN,the other was the harm with WEIFEN and QIFEN. Conclusion The main classification of TCM syndromes of epidemic encephalitis B was the harm with QIFEN and YINGFEN,it was serious, but the other one was eusemia.It is important to treat in QIFEN phase ,which will control the patient ’s condition.