头部刮痧辅助治疗外感热病临床研究  

Clinical Observation of Head Scraping in Adjuvant Treatment for Exogenous Febrile Disease

作　　者：郭佳莹[1] 王俏芝[1] 欧秀娟[1] 黄妙华[1] GUO Jiaying;WANG Qiaozhi;OU Xiujuan;HUANG Miaohua

机构地区：[1]广州中医药大学第一附属医院急诊病区,广东广州510405

出　　处：《新中医》2018年第9期212-214,共3页New Chinese Medicine

摘　　要：目的:观察在常规治疗基础上加用头部刮痧辅助治疗外感热病的临床疗效。方法:以本院急诊病区收治的256例外感热病患者为研究对象,随机将患者分为观察组和对照组各128例。2组患者均给予常规抗病毒、抗炎等治疗,观察组给予头部循经刮痧治疗。观察2组的临床疗效,记录退热时间,治疗前后采用疼痛视觉模拟评分法(VAS)评定患者的头痛程度。结果:治疗后1 h,2组患者的临床症状均得到不同程度改善,观察组和对照组的总有效率分别为97.7%、85.2%,2组比较,差异有统计学意义(P<0.05)。观察组平均退热时间为(3.56±0.75)h,对照组平均退热时间为(6.02±1.01)h,2组比较,差异有统计学意义(P<0.01)。治疗后30 min、2 h、4 h及6 h,2组的VAS评分均较治疗前降低(P<0.01),观察组各时间点的VSA评分均低于对照组(P<0.05,P<0.01)。结论:在常规治疗基础上加用头部刮痧治疗可较为迅速地使外感热病患者退热,并能有效缓解头痛,提高了临床疗效,值得在临床推广应用。Objective：To observe the clinical effect of head scraping in adjuvant treatment for exogenous febrile disease. Method：Selected 256 cases of patients with exogenous febrile disease who were admitted and treated in the emergency ward of our hospital as research subjects,and divided them into the observation group and the control group randomly,128 cases in each group. Both groups received the routine antiviral and anti-inflammatory treatment, while the observation group additionally received the treatment of head scraping along the meridian. Observed the clinical effect of both groups,recorded the defervescence time,and evaluated the severity of headaches of patients via visual analogue scale（VAS） before and after treatment. Results： In the 1 st hour after treatment, the clinical symptoms of patients in both groups were respectively improved to different extent, and the total effective rate was 97.7% in the observation group and 85.2% in the control group,difference being significant（P〈0.05）. The average defervescence time was（3.56 ±0.75）h in the observation group and（6.02±1.01）h in the control group,difference being significant（P〈0.01）. In the 0.5 h,2 nd h,4 th h and 6 thh after treatment,scores of VAS in both groups were lower than those before treatment（P〈0.01）,and scores of VAS at each time point in the observation group were all lower than those in the control group（P〈0.05, P〈0.01）. Conclusion： The additional application of head scraping on the basis of routine treatment can help patients with exogenous febrile disease reduce fever rapidly,release headaches and enhance the clinical effect,which is worthy of the clinical promotion and application.

关 键 词：外感热病 邪郁肺卫证 中西医结合疗法 中医外治法 头部刮痧 

分 类 号：R244.4[医药卫生—针灸推拿学]