中医辨证降温方法对80例外感高热患者降温效果的临床观察  

Clinical observation of TCM syndrome differentiation method for cooling effect of 80 cases of patients with exogenous high fever

作　　者：邹新花[1] 赖立英[2] 朱志云[1] 徐佳敏[3] 吕艳叶 陈莉[4] 

机构地区：[1]浙江省丽水市中医院护理部,浙江丽水323000 [2]浙江省丽水市中医院呼吸科,浙江丽水323000 [3]丽水学院医学院,浙江丽水323000 [4]浙江省丽水市中医院急诊科,浙江丽水323000

出　　处：《中国医药导报》2015年第25期100-103,共4页China Medical Herald

基　　金：浙江省中医药科学研究基金计划项目(2013ZB147)

摘　　要：目的探讨使用中医辨证的方法对外感实热证患者的降温效果。方法将丽水市中医院2014年1-12月收治的80例外感高热患者随机分为中医组和对照组。两组患者均给予常规中西医结合治疗，对照组单纯给予35％的酒精擦浴，中医组则取耳尖、十宣穴放血，同时根据辨证给予中药擦浴治疗。分别测量治疗前和治疗后30、60、120min后的体温，比较两组体温复常时间。结果治疗后30min中医组体温[（38．79±2．02）℃]高于对照组[（38．05±1．48）℃]，差异有统计学意义（P〈O．05）；治疗后60min两组体温[中医组：（38．18±1．16）℃；对照组：（38．09±1．09）℃]比较差异无统计学意义（P〉0．05）；治疗后120min中医组体温[（36．43±1．03）℃]明显低于对照组[（37．80±1．05）℃]，差异有高度统计学意义（P〈0．01）。中医组体温复常时间[（29．51±7．35）h]明显短于对照组[（35．14±8．55）h]，差异有高度统计学意义（P〈0．01）。结论运用中医辨证方法对外感实热证患者具有更好的降温效果。Objective To explore the cooling effect of TCM syndrome differentiation method for patients with exogenous high fever. Methods Eighty cases of patients with exogenous high fever admitted to Lishui Hospital of TCM from January to December 2014 were randomly divided into TCM group and control group. Two groups were given conventional integrated Chinese and Western medicines. Control group was only given 35% alcohol sponge bath. TCM group was taken bloodletting by tip of ear and Shixuan aeupoint, and given TCM sponge bath according to syndrome differentiation at the same time. The body temperatures of the two groups were tested before treatment and after treatment for 30, 60, 120 minutes. The recovery time of body temperature in the two groups was compared. Results After treatment for 30 min, the temperature of TCM group [（38.79±2.02）℃] was higher than that of control group [（38.05±1.48）℃], the difference was statistically significant （P 〈 0.05）; after treatment for 60 min, the temperature of the two groups [TCM group： （38.18±1.16）℃; control group： （38.09±1.09）℃] had no statistically significant difference （P 〉 0.05）; after treat- ment for 120 min, the temperature of TCM group [（36.43±1.03）℃ ] was lower than that of control group [（37.80±1.05）℃], the difference was highly statistically significant （P 〈 0.01）. The recovery time of body temperature in TCM group [（29.51±7.35） h] was shorter than that of control group [（35.14±8.55） h], there was a highly statistically significant difference （P 〈0.01）. Conclusion Application of TCM syndrome differentiation method has a better cooling effect for patients with exogenous high fever.

关 键 词：外感高热 降温效果 中药擦浴 放血疗法 

分 类 号：R254.9[医药卫生—中医内科学]