特定穴刮痧治疗小儿外感发热的临床研究

发布时间：2018-09-16 21:03

【摘要】：目的：观察特定穴刮痧治疗小儿外感发热的临床疗效,为小儿外感发热提供简便、易行的临床治疗方法。方法：选择符合本课题标准的患儿60例,按照随机数字表法随机分为治疗组及对照组各30例。对照组：常规治疗(抗病毒治疗及对症处理,白细胞高于10.0×109/L者同时予抗细菌治疗)；治疗组：常规治疗并配合特定穴(三关、六腑、天河水)刮痧治疗；3天为1个疗程。通过对比两组的体温及总体疗效的变化情况,评价特定穴刮痧治疗外感发热的临床疗效。结果：治疗组退热的起效时间明显优于对照组(P0.05),治疗组的起效时间为4.47±2.93时,对照组的起效时间为6.57±3.50时。治疗组体温降至正常的时间优于对照组(P0.05)。两组间总体疗效无明显差异(P0.05),其中治疗组痊愈3例,显效12例,有效11例,无效4例,临床总有效率86.7%；对照组痊愈2例,显效9例,有效14例,无效5例,总有效率83.3%。刮痧后30min内,体温较前有所下降(P0.05)。结论：应用特定穴刮痧法治疗小儿外感发热可明显缩短退热的起效时间和恢复正常体温的时间,对小儿外感发热的治疗有积极的临床意义。
[Abstract]:Objective: to observe the clinical effect of special acupoint scraping in treating children with exogenous fever, and to provide a simple and easy clinical treatment for children with exogenous fever. Methods: 60 children were randomly divided into treatment group (n = 30) and control group (n = 30). Control group: routine treatment (antiviral therapy and symptomatic treatment, leukocyte more than 10.0 脳 109 / L), treatment group: routine treatment and combined with specific points (Sanguan, Liufu, Tianhe water) scraping treatment for 3 days as a course of treatment. By comparing the changes of body temperature and total curative effect between the two groups, the clinical effect of treatment of external fever with specific acupoint scraping was evaluated. Results: the onset time of antipyretic in the treatment group was significantly better than that in the control group (P0.05). The onset time of the treatment group was 4.47 卤2.93, and that of the control group was 6.57 卤3.50. The time of body temperature drop to normal in the treatment group was better than that in the control group (P0.05). There was no significant difference between the two groups (P0.05). In the treatment group, 3 cases were cured, 12 cases were effective, 11 cases were effective, 4 cases were ineffective, and the total clinical effective rate was 86.7%, while in the control group, 2 cases were cured, 9 cases were effective, 14 cases were effective, 5 cases were ineffective, and the total effective rate was 83.3%. After scraping, the body temperature in 30min was lower than that before (P0.05). Conclusion: the application of special acupoint scraping method in the treatment of children with external fever can significantly shorten the time of antipyretic effect and return to normal body temperature, which has positive clinical significance for the treatment of children with external fever.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272;R244.4

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