清降膏辅助治疗小儿外感发热（风热犯表型）的临床疗效观察

发布时间：2018-11-23 07:10

【摘要】：目的：应用清降膏配合中药口服治疗，对小儿外感发热（风热犯表型）病例进行临床治疗观察，分析清降膏治疗此病的临床疗效。方法：采用随机分组对照，对门诊治疗60例小儿外感发热风热犯表型患儿进行临床观察。治疗组：中药清降膏敷贴配合口服银翘散加减，敷贴为1日1次，1次贴8-12个小时。清降膏成分为山栀子、吴茱萸、石膏等。对照组：单纯口服银翘散加减：方药组成（金银花、荆芥、柴胡、连翘、知母、薄荷、豆豉、芦根、牛蒡子、桔梗、甘草等），3天为一疗程，一般观察1个疗程。结果： 1治疗组对小儿外感发热的总有效率为96.67%，对照组总有效率为86.67％。两组临床疗效相比有显著性差异（P0.05）。证实治疗组疗效明显优于对照组。 2两组药物治疗后，疗程数据经统计学分析（P0.01），，两组具有显著性差异，治疗组疗程较对照组明显缩短。 3本次试验中未观察到患儿有心、肝、肾功能以及其他系统的不良反应。结论：清降膏配合中药口服治疗小儿外感发热的疗效确切，在退热时间、主要症状消失等方面均优于对照组，且能明显改善临床各种主要症状及体征，起效迅速，退热持续，不易反复，缩短疗程，无毒副作用。
[Abstract]:Objective: to observe the clinical effect of Qingjiang ointment combined with oral Chinese medicine in treating children with exogenous fever (phenotype of wind-heat invasion) and to analyze the clinical effect of Qingjiang ointment on the treatment of this disease. Methods: 60 children with phenotype of exogenous fever and fever were treated by randomized control. Treatment group: traditional Chinese medicine Qingjiang ointment application combined with oral Yinqiao Powder plus or minus, once a day, 8-12 hours of application. Qingjiangji is composed of Gardenia jasminoides, Evodia rutaecarpa, gypsum, etc. Control group: simple oral Yinqiao Powder plus or minus: prescription composition (Flos Lonicerae, Schizonepeta, Bupleurum, Forsythia, Anemarrhena, mint, fermented bean, root, Arctigo, Platycodon grandiflorum, Glycyrrhiza uralensis, etc.), 3 days as a course of treatment, a course of general observation. Results: 1 the total effective rate was 96.67 in the treatment group and 86.67 in the control group. There was significant difference between the two groups (P0.05). The curative effect of the treatment group was better than that of the control group. 2After the two groups were treated with drugs, the data of course of treatment were statistically analyzed (P0.01), there was significant difference between the two groups, and the course of treatment in the treatment group was significantly shorter than that in the control group. No adverse reactions of heart, liver, kidney and other systems were observed in this study. Conclusion: Qingjiang ointment combined with traditional Chinese medicine is effective in treating children with exogenous fever. It is superior to the control group in antipyretic time and disappearance of main symptoms, and can obviously improve the main clinical symptoms and signs. Not easy to repeat, shorten the course of treatment, no side effects.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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