中药穴位贴敷联合耳尖放血治疗外感高热的临床观察  

Clinical Observation on Acupoint Application of Chinese Herbal Medicine Combined with Ear-apex Bloodletting Therapy in Treating Externally Contracted Hyperpyrexia

作　　者：曾灿辉 郭萍 廖荣荣 张春霞 张莉娟 ZENG Can-Hui;GUO Ping;LIAO Rong-RongZHANG Chun-Xia;ZHANG Li-Juan(Dept.of Integrated Chinese and Western Medicinme,Southern Medical University,Guangzhou 510315 Guangdong,China)

机构地区：[1]南方医科大学中西医结合医院急诊科,广东广州510315

出　　处：《广州中医药大学学报》2021年第5期967-972,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省医学科研基金指令性课题资助项目(编号:c2019035);广东省南方医科大学护理科研专项资助项目(编号:Y2018012)。

摘　　要：【目的】观察中药穴位贴敷联合耳尖放血治疗外感高热的临床疗效。【方法】将100例外感高热患者随机分为观察组和对照组,每组各50例,对照组给予常规抗炎或抗病毒治疗,观察组在对照组治疗的基础上,给予中药穴位贴敷联合耳尖放血疗法进行治疗。连续治疗3 d。观察2组患者治疗前及治疗后1、2、4、24、48、72 h体温的变化情况,以及2组患者治疗前后发热、鼻塞、咳嗽、流涕、喷嚏、咽部疼痛、头痛、全身酸痛等临床症状的消失率,并评价2组患者的临床疗效。【结果】(1)治疗后1、2、4、24、48、72 h,2组患者的体温逐渐降低,与治疗前比较,差异均有统计学意义(P<0.05);且观察组在治疗后24 h及48 h体温改善方面均明显优于对照组,差异有统计学意义(P<0.05)。(2)观察组发热症状消失率为98.00%(49/50),对照组为92.00%(46/50),观察组疗效优于对照组,差异有统计学意义(P<0.05);观察组咳嗽症状消失率为78.57%(33/42),对照组为55.00%(22/40),观察组疗效优于对照组,差异有统计学意义(P<0.05)。观察组咽部疼痛症状消失率为82.61%(19/23),对照组为54.17%(13/24),观察组疗效优于对照组,差异有统计学意义(P<0.05)。观察组头痛症状消失率为83.33%(30/36),对照组为58.82%(20/34),观察组疗效优于对照组,差异有统计学意义(P<0.05)。(3)观察组总有效率为98.00%(49/50),对照组为92.00%(46/50),观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】中药穴位贴敷联合耳尖放血治疗外感高热,能明显改善患者的临床症状,快速有效地降低患者的体温,临床疗效显著。Objective To observe the therapeutic effect of acupoint application of Chinese herbal medicine combined with ear-apex bloodletting therapy for externally contracted hyperpyrexia.Methods A total of 100 patients with externally contracted hyperpyrexia were randomly divided into observation group and control group,50 cases in each group.The patients of the two groups received routine anti-inflammation or anti-virus treatment,additionally,and the observation group received acupoint application of Chinese herbal medicine combined with ear-apex bloodletting therapy,and the treatment lasting 3 continuous days.The changes in body temperature in the two groups were observed before treatment,one,2,4,24,48,72 hours after treatment,the disappearance rate of clinical symptoms such as fever,nasal obstruction,cough,running nose,sneezing,sore throat,head pain,bodily pain in the two groups were compared before and after the treatment,and the clinical efficacy in the two groups was evaluated.Results(1)One,2,4,24,48,72 hours after treatment,the body temperature in the two groups was gradually decreased,the difference being significant as compared with that before treatment(P<0.05),and the improvement in body temperature on 24,48 hours of the observation group was superior to that of the control group,the difference being significant(P<0.05).(2)The disappearance rate of fever symptom was 98.00%(49/50)in the observation group,was 92.00%(46/50)in the control group,the therapeutic effect in the observation group being superior to that in the control group(P<0.05).The disappearance rate of cough symptom was 78.57%(33/42)in the observation group,was 55.00%(22/40)in the control group,the therapeutic effect in the observation group being superior to that in the control group(P<0.05).The disappearance rate of sore throat symptom was 82.61%(19/23)in the observation group,was 54.17%(13/24)in the control group,the therapeutic effect in the observation group being superior to that in the control group(P<0.05).The disappearance rate of head pain

关 键 词：中药穴位贴敷 耳尖放血 外感高热 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]