中药浴开始出汗时间与体温下降的相关性分析  

Correlation Analysis of Medicated Bath Beginning to Sweat in Time and Temperature Drop

作　　者：秦凤华[1] 王雅丽[1] 周莉莉[1] 

机构地区：[1]河南中医学院第二附属医院,河南郑州450002

出　　处：《中医学报》2015年第3期355-356,共2页Acta Chinese Medicine

基　　金：国家"十一五"科技支撑计划(2008BA153B006);河南中医学院苗圃项目(MP2011-27)

摘　　要：目的：观察中药药浴时开始出汗时间对外感发热患儿体温变化的影响，为采取药浴降温者提供操作上的时间依据。方法：对 ９４例患儿用（３９±１）℃的中药液进行浸浴及相应的经络刺激，浴前、浴后 ３０ｍｉｎ各测量体温 １次，根据患儿在药浴过程中的出汗开始时间，分为５～１０ｍｉｎ出汗组、１１～１５ｍｉｎ出汗组、１６～２０ｍｉｎ出汗组等３２组。结果：５～１０ｍｉｎ出汗组４８例，体温下降 ４７例，下降率为 ９７．９１％，体温上升 １例；１１～１５ｍｉｎ出汗组 ３０例，体温下降 ２５例，下降率为 ８３．３３％，体温无变化 １例，体温上升 ４例；１６～２０ｍｉｎ出汗组 １６例，体温下降 １３例，有效率为 ８１．２５％，体温无变化 １例，体温上升 ２例。结论：药浴时在 １０ｍｉｎ以内出汗的患儿，浴后体温下降率明显高于在 １０ｍｉｎ以外出汗的患儿，而体温上升率明显低于 １０ｍｉｎ以外出汗的患儿。Objective： Explore Chinese medicine medicated bath at the start of sweating time on infantile cold fever the influence of temperature change,to provide bath time basis for Chinese medicine bath. Methods： In 94 cases with 39 ± 1 ℃ traditional Chinese medicine liquid for bathing and the corresponding main and collateral channels stimulation,before and after for 30 minmeasuring temperature. According to the children in the bath of sweat start time,divided into 5- 10 min group,10- 15 min group,15- 20 min group of 32 groups. Results： 48 cases of 5- 10 min group,47 cases with temperature decline,decline rate is about 97. 91%,the temperature rise in1 case. 30 cases of 10- 15 min group,25 cases with temperature decline,decrease rate was 83. 33%,no change in 1 case,4 cases of temperature rise. 16 cases of 15- 20 min group,13 cases with temperature decline,efficiency was 81. 25%,no change in 1 case,2 cases of temperature rise. Conclusion： Bath time within 10 min sweating in children,temperature drop rate is obviously higher than in 10 min children outside sweating after bath,their body temperature rise rate was significantly lower than that of 10 min outside.

关 键 词：中药药浴 出汗时间 小儿外感发热 

分 类 号：R246.2[医药卫生—针灸推拿学]