幼科升降汤治疗小儿外感发热风热夹滞证50例临床观察  

Clinical effect of Youke Shengjiang decoction in treatment of pediatric exogenous fever with wind-heat stagnation:An analysis of 50 cases

作　　者：袁洋[1] 陈光明[1] 徐玲[1] 杨丽霞[1] 秦玉[1] YUAN Yang;CHEN Guangming;XU Ling;YANG Lixia;QIN Yu(Yancheng Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Yancheng 224001,Jiangsu,China)

机构地区：[1]南京中医药大学附属盐城市中医院,江苏盐城224001

出　　处：《湖南中医杂志》2020年第9期12-14,共3页Hunan Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教发[2014]20号);第六批全国名老中医药专家学术经验继承项目(国中医药人教发[2017]29号)。

摘　　要：目的:观察幼科升降汤治疗小儿外感发热风热夹滞证的临床疗效。方法:将100例外感发热风热夹滞证患儿随机分为治疗组和对照组,每组各50例。治疗组采用幼科升降汤治疗,对照组采用中成药小儿感冒退热糖浆治疗。以3 d为1个疗程,1个疗程后比较2组的临床疗效,显效病例退热起效时间、发热消失时间、主要症状消失时间。结果:总有效率治疗组为90.0%(45/50),对照组为74.0%(37/50),2组比较,差异有统计学意义(P<0.05);治疗组显效病例退热起效时间、发热消失时间均优于对照组(P<0.05);治疗组主要症状流涕、食欲不振、腹胀消失时间亦优于对照组(P<0.05)。结论:幼科升降汤治疗小儿外感发热风热夹滞证临床疗效确切,值得推广。Objective:To investigate the clinical effect of Youke Shengjiang decoction in the treatment of pediatric exogenous fever with wind-heat stagnation.Methods:A total of 100 children with exogenous fever with wind-heat stagnation were randomly divided into treatment group and control group,with 50 patients in each group.The patients in the treatment group were given Youke Shengjiang decoction,and those in the control group were given the Chinese patent drug Xiaoer Ganmao Tuire syrup.Each course of treatment was 3 days,and after one course of treatment,the two groups were compared in terms of clinical outcome,onset time of heat clearance in children with marked response,time to disappearance of fever,and time to symptom disappearance.Results:There was a significant difference in overall response rate between the treatment group and the control group[90.0%(45/50)vs 74.0%(37/50),P<0.05].Compared with the control group,the treatment group had significantly better onset time of heat clearance in children with marked response,time to disappearance of fever,and time to disappearance of rhinorrhea,loss of appetite,and abdominal distension(P<0.05).Conclusion:Youke Shengjiang decoction has a marked clinical effect in the treatment of pediatric exogenous fever with wind-heat stagnation and thus holds promise for clinical application.

关 键 词：外感发热 风热夹滞证 小儿 中医药疗法 幼科升降汤 

分 类 号：R272[医药卫生—中医儿科学]