大椎刮痧治疗小儿外感发热(风热型)的临床疗效观察  

Clinical Observation of Dazhui Acupoint Scraping for Treatment of Wind-Heat Type of Exogenous Fever in Children

作　　者：王倩[1] 黄海燕 WANG Qian;HUANG Hai-Yan(Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Dongguan Traditional Chinese Medicine Hospital,Dongguan 523000 Guangdong,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]东莞市中医院,广东东莞523000

出　　处：《广州中医药大学学报》2020年第10期1940-1944,共5页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察大椎刮痧结合布洛芬口服对小儿外感发热(风热型)的疗效。【方法】将100例风热型外感发热患儿随机分为治疗组和对照组,每组各50例。对照组给予布洛芬口服治疗,治疗组给予大椎刮痧结合布洛芬口服治疗。观察2组患儿治疗前及治疗后30 min、60 min、120 min的体温变化情况,评价2组患儿治疗后120 min的降温疗效、中医证候疗效和安全性。【结果】(1)观察过程中,治疗组脱落1例,其余49例完成试验;对照组无脱落病例,50例全部完成试验。(2)治疗后30、60、120 min,2组患儿的体温均逐渐降低,与治疗前及前1个观察时点比较,差异均有统计学意义(P<0.05);且治疗组在治疗后60、120 min的体温均明显低于对照组,差异均有统计学意义(P<0.05)。(3)治疗后120 min,2组患儿的中医证候积分均较治疗前降低(P<0.05),且治疗组的中医证候积分明显低于对照组,差异有统计学意义(P<0.05)。(4)降温疗效方面,治疗后120 min,治疗组的总有效率为100.0%(49/49),对照组为96.0%(48/50),治疗组的降温疗效优于对照组,差异有统计学意义(P<0.05)。(5)中医证候疗效方面,治疗后120 min,治疗组的有效率为61.2%(30/49),对照组为18.0%(9/50),治疗组的中医证候疗效优于对照组,差异有统计学意义(P<0.05)。(6)治疗过程中,2组患儿均无明显不良反应发生。【结论】大椎刮痧结合布洛芬口服治疗风热型外感发热患儿疗效显著,相比单纯布洛芬口服治疗,可更好地降低患儿体温,改善患儿临床症状。Objective To observe the curative effect of Dazhui(GV14)acupoint scraping combined with oral use of ibuprofen for treatment of children with wind-heat type of exogenous fever. Methods One hundred children with wind-heat type of exogenous fever were randomized into treatment group and control group, 50 cases in each group. The control group was given oral use of ibuprofen,and the treatment group was treated with Dazhui acupoint scraping combined with oral use of ibuprofen. Before treatment and 30,60,and 120 min after treatment,the body temperature of the two groups was monitored. And 120 min after treatment,the antipyretic effectiveness,efficacy for traditional Chinese medicine(TCM)syndrome and clinical safety in the two groups were evaluated.Results(1)During the trial,one case from the treatment group while none case from the control group fell off,and a total of 49 cases in the treatment group and all of the 50 cases in the control group completed the trial.(2)The body temperature of the children in the two groups 30, 60, and 120 min after treatment decreased gradually,and the difference was statistically significant in comparison with that before treatment and with the level at previous time point(P<0.05). The body temperature of the children in the treatment group 60 and 120 min after treatment was obviously lower than that in the control group, the difference being significant(P<0.05).(3)The scores of TCM syndrome in the two groups 120 min after treatment were lower than those before treatment(P<0.05),and the scores of TCM syndrome in the treatment group were obviously lower than those in the control group,the difference being statistically significant(P<0.05).(4)In respect of the antipyretic effectiveness 120 min after treatment,the total effective rate in the treatment group was 100.0%(49/49)and that in the control group was 96.0%(48/50). The treatment group had stronger antipyretic effectiveness than the control group,and the difference between the two groups was statistically significant(P<0.05).(5)In res

关 键 词：外感发热 风热型 大椎 刮痧 布洛芬 小儿 

分 类 号：R244.4[医药卫生—针灸推拿学]