银翘白虎汤灌肠联合常规疗法治疗小儿外感高热45例临床研究  

Clinical Study on Enema with Yinqiao Baihu Tang Combined with Routine Therapy for45 Cases of Fever from External Contraction in Children

作　　者：陆峰丽 姚国芳[1] LU Fengli;YAO Guofang

机构地区：[1]杭州市余杭区第五人民医院急诊科,浙江杭州311100

出　　处：《新中医》2020年第16期156-159,共4页New Chinese Medicine

摘　　要：目的:观察在常规西药与护理措施基础上加用银翘白虎汤灌肠治疗小儿外感高热的临床疗效。方法:将90例外感高热患儿按照随机数字表法分为对照组和观察组各45例。2组均给予布洛芬混悬液、对乙酰氨基酚栓治疗,并给予物理降温等综合护理措施。观察组加予银翘白虎汤灌肠治疗。2组疗程均为3 d。记录用药前与首次用药后30 min、1 h、2 h的腋温,并统计退热有效率;记录退热起效时间和解热时间,统计治疗1 d、2 d、3 d的解热率;治疗前后评定主要症状评分。结果:治疗后,观察组降低体温的疗效优于对照组(P<0.05)。2组患儿首次用药后30 min、1 h、2 h的腋温均呈下降趋势(P<0.05),观察组用药后3个时点的腋温均低于对照组(P<0.05)。观察组退热起效时间和解热时间均短于对照组(P<0.01)。观察组首次用药后1 h、2 h的退热有效率与治疗2 d、3 d的解热率均高于对照组(P<0.05)。2组主要症状积分均较治疗前下降(P<0.01),观察组主要症状积分低于对照组(P<0.01)。结论:在常规西药与护理措施基础上给予银翘白虎汤灌肠治疗外感高热患儿,可快速降低体温,缩短病程,并能有效缓解急性上呼吸道感染的其他症状。Objective:To observe the clinical effect of enema with Yinqiao Baihu tang based on routine western medicine therapy and nursing for fever from external contraction in children.Methods:A total of 90 cases of children with fever from external contraction were divided into two groups according to the random number table method,45 cases in each group.Both groups were treated with ibuprofen suspension and paracetamol suppository as well as comprehensive nursing measures including physical hypothermia,and the observation group was additionally treated with enema with Yinqiao Baihu tang.Both groups were treated for three days.Before medication as well as 30 minutes,one and two hours after the first medication,the axillary temperatures were recorded,and the effective rates of defervesce were counted.The onset time of defervesce and the antipyretic time were recorded,and the antipyretic rates one,two and three days after treatment were counted.The scores of main symptoms before and after treatment were evaluated.Results:After treatment,the curative effect of lowering body temperature in the observation group was better than that in the control group(P<0.05).Thirty minutes,one and two hours after the first medication,the axillary temperatures showed a downward trend(P<0.05),and the temperatures of the three different time points in the observation group were lower than those in the control group(P<0.05).The onset time of defervesce and the antipyretic time in the observation group were shorter than those in the control group(P<0.01).One and two hours after the first medication,the effective rates of defervesce in the observation group were higher than those in the control group(P<0.05).Tow and three days after treatment,the antipyretic rate in the observation group were higher than those in the control group(P<0.05).The scores of main symptoms in the two groups were decreased when compared with those before treatment(P<0.01),and the score in the observation group was lower than that in the control group(P<0.01).Conclusion:

关 键 词：外感高热 儿童 中西医结合疗法 银翘白虎汤 中药灌肠 护理 

分 类 号：R725.6[医药卫生—儿科]