Compound Chinese medicine treatment for severe heat stroke caused by high temperature in dalian

Abstract

Objective Observe and evaluate the methods and effects of clinical treatment for patients with severe heat stroke. Methods 20 patients with severe heat stroke hospitalized in Affiliated Zhongshan Hospital of Dalian were divided into experimental group and control group by simple random method. A prospective randomized controlled trial was performed in 13 males and 7 females, aged 61-96 years, with an average age of (77.1 ± 7.78) years. In the control group, 10 patients were treated with Western medicine. In the experimental group, 10 patients were treated with compound Chinese herbal medicine decoction retention enema on the basis of routine treatment of Western medicine. The duration of hyperthermia, recovery time of body temperature(Underarm measurement method, body temperature≥39℃), time of consciousness recovery(can wake up and answer questions clearly), and length of hospital stay were compared between the two groups. The clinical treatment effects of the two groups of patients were evaluated, and the major organ dysfunction occurring during the treatment was compared. Results The therapeutic effect of the experimental group was better than that of the control group. The average duration of hyperthermia in the experimental group was 1.6±1.02 h, the mean recovery time was 10.6±8.40 h, the average recovery time was 1.87±2.07 d, and the average hospital stay was 8.75±5.90 d. The average duration of hyperthermia in the control group was 5.83±2.53 h, The average recovery time of body temperature was 20.78±12.35 h, the average recovery time was 7±5.60 d, and the average hospital stay was 9.67±9.57 d. The difference between the two groups was statistically significant (P<0.05). In the experimental group, 4 cases were obviously effective, 3 cases were effective, 3 cases were ineffective, the total effective rate was 70.0%. In the control group, 2 cases were obviously effective, 3 cases were effective, 6 cases were ineffective, and the total effective rate was 50.0%. The total effective rate of the treatment group was significantly higher than that of the control group, and the difference was statistically significant (P<0.05). The indexes of major organ dysfunction were compared between the two groups. The liver function index, MODS and deaths in the experimental group were lower than those in the control group (P<0.05). Conclusion According to the characteristics of severe heatstroke caused by high temperature in Dalian, the traditional Chinese medicine for clearing heat and nourishing yin is used, such as increase or decrease Baihu merged Zengye decoction's medicine. On the basis of routine treatment of Western medicine, the addition of compound Chinese herbal decoction retention enema to treat severe heat stroke can significantly reduce the patient's high fever duration, body temperature recovery time, shorten the patient's consciousness recovery time and hospitalization time, and significantly reduce the damage of major organ function, MODS incidence and mortality. In summary, it has a clinical application prospect. Key words: Dalian; Hot weather; Severe heat stroke; Compound Chinese medicine