摘要
【目的】观察青蒿香薷散浸浴治疗夏季小儿外感发热的降温效果。【方法】将420例外感发热患儿随机分为治疗组和对照组各210例。所有患儿均给予常规中西医结合治疗,包括:西药口服利巴韦林抗病毒治疗;流涕咳嗽者加服双扑伪麻分散片;腋温38.5℃以上时口服布洛芬混悬液;中医辨证属风热犯表者给予银翘散加减,属暑湿伤表者给予新加香薷饮加减治疗。在此基础上,治疗组加用青蒿香薷散(青蒿、香薷、野菊花、薄荷)浸浴。观察2组疗效及需口服布洛芬退热次数。【结果】(1)治疗组的痊愈率和总有效率分别为32.38%和92.86%,对照组分别为20.48%和84.29%;2组比较,治疗组疗效显著优于对照组,差异有统计学意义(P<0.05)。(2)治疗组需使用退热药布洛芬次数为156次,对照组需使用退热药布洛芬次数为468次,治疗组需使用退热药次数显著少于对照组,2组比较差异有统计学意义(P<0.05)。(3)治疗期间,所有患儿均未发现明显不良反应。【结论】青蒿香薷散对夏季小儿发热治疗效果良好,具有用药安全方便的特点,值得临床推广应用。
Objective To investigate the antipyretic effect of immersion bath with Qinghao Xiangru Powder （QXP） for treatment of children summer externally contracted fever. Methods Four hundred and twenty children with summer externally contracted fever were equally randomized into treatment group and control group. Both groups would given routine anti-inflammtory and antiviral treatment. If the body temperature of the patients in both groups was over 38.5℃, buprofen tablets would be used, and the patients of treatment group would also given immersion bath with QXP. After treatment, the therapeutic effect was evaluated, and the frequency of oral administration of buprofen tablets was also observed. Results （ 1 ） The cure rate was 32.38% and the total effective rate was 92.86% in the treatment group, and was 20.48 %, 84.29% respectively in the control group, the difference being significant （P 〈 0.05 ）. （2） The frequency of oral administration of buprofen tablets was 156 times in the treatment group, and was 468 times in the control group, the difference being significant （P 〈 0. 05 ）. （3） No adverse reaction was found in the children during the treatment. Conclusion Immersion bath with QXP has synergistic action on the antipyretic effect of conventional medicine for treatment of children summer externally contracted fever, and it is safe and convenient.
出处
《广州中医药大学学报》
CAS
北大核心
2013年第2期162-164,共3页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
夏季小儿外感发热/中西医结合疗法
青蒿香薷散/治疗应用
浸浴疗法
Children summer externally contracted fever/TCM-WM therapy
Qinghao Xiangru Powder/therapeutic use
Immersion bath therapy
