中药足部熏洗治疗小儿外感发热退热疗效观察

发布时间：2018-12-17 10:59

【摘要】：目的：本课题旨在观察中药足部熏洗治疗小儿外感发热退热的临床疗效,并与清水足部熏洗组进行对照,分析中药足部熏洗退热效果,为临床寻找一种安全、有效、患儿依从性好的退热方法。方法：将2015-03至2015-12入住广州中医药大学第一附属医院儿科,符合纳入标准及排除的84例患儿,按照入组的先后顺序,奇数者为观察组,偶数者为对照组,各42例,两组均进行常规抗炎抗病毒治疗。当患儿38.0℃≤腋温≤39.0℃时,观察组给予退热散足部熏洗,对照组给予同等条件下清水足部熏洗,记录处理前及处理后0.5h、1.0h、2.0h、4.0h、6.0h体温。若处理后,体温不降反升,并且超过39.0℃则给予布洛芬口服。然后对两组患儿在处理后0.5h、1.0h、2.0h、3.0h、4.0h、6.0h体温、合并口服布洛芬的例数、各时间段体温出现回升的例数进行比较。结果：两组患儿处理后0.5h、1.0h、2.0h的体温均低于处理前,经配对t检验,差异具有统计学意义(p0.05)；两组患儿处理后0.5h、1.0h体温降幅经独立样本t检验均无统计学意义(p0.05),但处理后2.0h体温降幅显示观察组高于对照组,差异具有统计学意义(p0.05)；观察组合并口服布洛芬的例数以及各时间段体温回升的例数少于对照组,差异具有统计学意义(p0.05)。结论：中药足部熏洗治疗小儿外感发热退热疗效观察方面,观察组具有退热时间更持久,体温不易反跳,能减少解热镇痛药的使用频次。该方法安全、有效、无明显毒副作用,患儿依从性好,不失为临床上可行性好的退热方法,值得应用和推广。
[Abstract]:Objective: to observe the clinical efficacy of foot fumigation and washing in treating children with exogenous fever and to compare it with the control group, and to analyze the effect of foot fumigation and antipyretic therapy, so as to find a safe and effective method for clinical treatment. Children with good compliance with the method of antipyretic. Methods: 84 pediatrics patients admitted to the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine from March to December 2015-2015-12 were enrolled in the study. According to the order of admission, the odd-numbered patients were selected as the observation group and the even-numbered patients as the control group (42 cases each). Both groups were treated with routine anti-inflammatory and anti-viral therapy. When the temperature of the child was 38.0 鈩，

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