药浴疗法治疗小儿外感发热（风寒型）临床疗效影响因素研究

发布时间：2018-06-17 09:52

本文选题：药浴疗法 + 小儿外感发热　；参考：《河南中医学院》2014年硕士论文

【摘要】：目的：①确定影响药浴疗法治疗小儿外感发热（风寒型）临床疗效的入浴时机、药浴频率、药浴部位三个关键因素。②为制定药浴疗法的技术操作规范提供研究数据支持。方法：收集符合入组标准的外感发热(风寒型)患儿64例，依据入浴时机（发热时、退热时）、药浴频率（每日1次、每日2次）、药浴部位（全身、双足）的不同按2×2×2析因设计随机分为8组，，每组8例。各组在口服小儿柴桂退热颗粒和复方氨酚甲麻口服液基础治疗上进行相应的中药药浴治疗，疗程2天。记录患儿48小时体温变化情况，评价各组退热效果，比较各组退热起效时间、解热时间、最高体温降幅、体温曲线下面积、退热有效率及合并使用退热药次数。结果：①各组退热起效时间无显著差异（P=0.752＞0.05）；②发热时每日2次全身浴组（第3组）和退热时每日2次足浴组（第8组）解热时间明显短于其他各组（P=0.002＜0.05）；③发热时每日2次全身浴组（第3组）治疗后第1、2天最高体温降幅明显高于其他各组（P1=0.032，P2=0.002，均＜0.05）；④发热时每日2次全身浴组（第3组）和退热时每日2次足浴组（第8组）治疗后48h体温曲线下面积明显小于其他各组（P=0.015＜0.05）；⑤各组退热有效率无显著差异（P=0.748＞0.05）；⑥发热时每日2次全身浴组（第3组）和退热时每日2次足浴（第8组）合并使用退热药次数明显少于其他各组（P=0.003＜0.05）。结论：①药浴疗法治疗小儿外感发热（风寒型）的最佳入浴时机、药浴频率、药浴部位组合为发热时、每日2次、全身浴和退热时、每日2次、足浴。②常规治疗联合恰当的中药药浴治疗可明显缩短小儿外感发热（风寒型）的解热时间，降低患儿的热峰，减小体温曲线下面积，减少退热药的使用次数，但不能缩短退热起效时间和影响最终退热有效率。
[Abstract]:Objective: to determine the time for bath therapy to treat the clinical curative effect of exogenous fever (wind cold type), the frequency of the medicine bath and the three key factors of the location of the medicine bath. (2) provide the research data support for the technical operation standard of the medicine bath therapy.
Methods: 64 children with exogenous fever (wind cold type) were collected in accordance with the standard of entry. According to the time of entering the bath (fever, fever), the frequency of the medicine bath (1 times a day, 2 times a day), the different parts of the medicine bath (body, bipedal) were randomly divided into 8 groups according to the 2 x 2 x 2 factorial design, each group was taken orally by oral Chai Gui fever granules and compound amparol a hemp. On the basis of liquid foundation treatment, the corresponding Chinese medicine bath treatment was performed for 2 days. The temperature changes of the children were recorded for 48 hours, the effect of fever was evaluated, the time of antipyretic onset, the time of heat release, the maximum temperature drop, the area under the temperature curve, the efficiency of antipyretic and the number of antipyretic drugs were used.
Results: (1) there was no significant difference in the time for the onset of fever in each group (P=0.752 > 0.05); (2) 2 times daily body bath group (third groups) and 2 times daily (eighth groups) were significantly shorter than the other groups (P=0.002 < 0.05), and the highest temperature decline was significantly higher in the day 1,2 day after fever (Group Third). Other groups (P1=0.032, P2=0.002, all < 0.05); (4) 2 times daily body bathing group (third groups) and 2 times daily foot bath (eighth groups) after fever (eighth groups), after treatment, the area under the temperature curve of 48h was significantly smaller than the other groups (P=0.015 < 0.05); 5. There was no significant difference in the rate of fever (P=0.748 > 0.05) in each group (P=0.748 > 0.05); (6) 2 times a day in the whole body bath group ( The third group) and the 2 times of foot bath (eighth groups) during the fever period were significantly fewer than those in the other groups (P=0.003 < 0.05).
Conclusion: (1) the best bath time, the frequency of medicine bath and the combination of the part of the medicine bath for fever, 2 times a day, 2 times a day and a foot bath when the body bath and the fever are combined, and the combination of the conventional treatment and the proper medicine bath treatment can obviously shorten the time of heat release in children's exogenous fever (wind cold type) and reduce the children's fever. The heat peak decreases the area under the body temperature curve and reduces the frequency of the use of antipyretic drugs, but it can not shorten the onset time of the antipyretic effect and affect the effective rate of final antipyretic.
【学位授予单位】：河南中医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R272

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