全身浴和足浴对风寒型小儿外感发热的退热疗效观察  

Observation on antifebrile effect of full bath and foot bath in treating exogenous fever of child with wind-cold syndrome

作　　者：侯江红[1] 单海军[1] 任玉梅[1] 朱珊[1] 李玮[1] 王中玉[1] 

机构地区：[1]河南中医学院第二附属医院,郑州450002

出　　处：《中华中医药杂志》2016年第4期1493-1495,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金："十一五"国家科技支撑计划项目(No.2008BAI53B066)~~

摘　　要：目的:评价全身浴和足浴治疗风寒型小儿外感发热的退热效果。方法:收集符合入组标准的风寒型小儿外感发热患者72例,随机分为对照组、全身浴组和足浴组;对照组进行基础治疗(口服小儿柴桂退热颗粒和复方氨酚甲麻口服液);全身浴组进行基础治疗加中药全身浴治疗,每日2次,发热时洗浴;足浴组进行基础治疗加中药足浴治疗,每日2次,退热时洗浴。记录入组后48h内患儿的体温,绘制48h体温曲线图,比较3组的退热效率、解热时间和48h体温曲线下面积。结果:全身浴组25-48h最高体温降幅明显大于足浴组和对照组(P<0.05);全身浴组的0-24h和0-48h体温曲线下面积均明显小于足浴组和对照组(P<0.05);全身浴组合并使用退热药次数明显少于足浴组和对照组(P<0.05)。结论:全身药浴联合常规治疗小儿风寒型外感发热,可明显降低热峰,减小体温曲线下面积,减少退热药的使用,其疗效明显优于足浴。Objective： To evaluate the antifebrile effect of full bath and foot bath in treating exogenous fever of child with wind-cold syndrome. Methods： Seventy-two exogenous fever children with wind-cold syndrome were selected and randomly divided into control group, full bath group and foot bath group. Children in control group received fundamental treatment（Xiao＇er Chaigui Tuire Keli combined with Compound Paracetamol and Methylephedrine Oral Solution）, children in full bath group received TCM full bath treatment based on the fundamental treatment twice a day as their heat up, and children in foot bath group received TCM foot bath treatment based on fundamental treatment twice a day as their heat down. The temperature of patients during 48 hours after grouping was recorded, and the temperature curve was drawn. The antifebrile efficiency, febrifuge time, and the 48 hours area under temperature curve of the three treatments were compared. Results： The decreasing amplitude of maximal body temperature of children in full bath group was obviously greater than that of foot bath group and control group in 25-48 hours（P〈0.05）. The area under temperature curve of children in full bath group was significantly less than that of foot bath group and control group in 0-24 hours and 0-48 hours（P〈0.05）. The use frequency of febrifuge in full bath group was significantly less than that of foot bath group and control group（P〈0.05）. Conclusion： Treating exogenous fever of child with wind-cold syndrome with combination of TCM full bath treatment and conventional therapy can decrease heat peak, reduce the area under the temperature curve, reduce the use of febrifuge, and its curative effect is significantly superior to that of TCM foot bath treatment.

关 键 词：中药 药浴 全身浴 足浴 小儿外感发热 退热疗效 

分 类 号：R272[医药卫生—中医儿科学]