经方小柴胡汤与竹叶石膏汤联合加减治疗感冒后顽固性发热的效果对比  

Comparison of Curative Effect of Modified Jingfang Xiaochaihu Decoction and Zhuye Shigao Decoction in Treating Intractable Fever after Cold

作　　者：许舜清 XU Shunqing(Zhao’an County Chinese Medicine Hospital,Zhao’an 363500,China)

机构地区：[1]诏安县中医院

出　　处：《中外医学研究》2020年第4期127-128,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究竹叶石膏汤与经方小柴胡汤联合加减治疗感冒后顽固性发热的临床效果。方法:选择2017年1月-2019年1月在笔者所在医院住院的80例感冒后顽固性发热患者作为研究对象。按随机对照方式将其分成对照组与试验组,每组40例。对照组应用常规方法治疗,试验组给予经方小柴胡汤与竹叶石膏汤联合加减治疗,对比两组疗效、不良反应发生率及治疗前后生活质量。结果:试验组治疗总有效率为97.50%,高于对照组的82.50%,差异有统计学意义(P<0.05);试验组不良反应发生率(2.50%)低于对照组(22.50%),差异有统计学意义(P<0.05)。治疗前两组生活质量评分比较差异无统计学意义(P>0.05),治疗后两组生活质量评分均高于治疗前,且试验组高于对照组,差异均有统计学意义(P<0.05)。结论:经方小柴胡汤与竹叶石膏汤联合加减治疗感冒后顽固性发热有着较好的效果,能够有效缓解症状,减轻患者痛苦,值得临床推广应用。Objective: To study the clinical effect of modified Jingfang Xiaochaihu Decoction and Zhuye Shigao Decoction in treating intractable fever after cold. Method: A total of 80 patients with intractable fever after cold in our hospital from January 2017 to January 2019 were selected. They were divided into the control group and the experimental group by randomized control method, 40 cases in each group. The control group was treated by conventional methods, and the experimental group was given modified Jingfang Xiaochaihu Decoction and Zhuye Shigao Decoction, and the curative effect and adverse reaction rate were compared between the two groups. Result: The total effective rate of treatment in the experimental group was 97.50%, which was higher than 82.50% in the control group, the difference was statistically significant(P<0.05). The incidence of adverse reactions in the experimental group(2.50%) was lower than that in the control group(22.50%), the difference was statistically significant(P<0.05). There was no significant difference in quality of life scores between the two groups before treatment(P>0.05). The quality of life scores of the two groups after treatment were higher than those before treatment, and the experimental group was higher than the control group, the differences were statistically significant(P<0.05). Conclusion: The combination of modified Jingfang Xiaochaihu Decoction and Zhuye Shigao Decoction has a good effect on treating intractable fever after cold, which can effectively relieve symptoms and alleviate the suffering of patients, and is worthy of clinical application.

关 键 词：经方小柴胡汤 竹叶石膏汤 感冒后顽固性发热 疗效 

分 类 号：R254.9[医药卫生—中医内科学]