中药外洗方联合西药治疗小儿邪犯肺卫型水痘临床观察  

Clinical Observation on External Washing of Chinese Medicine Combined with Western Medicine in Treating Varicella of Pathogen Invading Lung Type

作　　者：张文聪 周春焕 ZHANG Wencong;ZHOU Chunhuan(Department of Pediatrics,Maoming Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine,Guangdong Province,Maoming 525000,China;Graduate School,Guangzhou University of Chinese Medicine,Guangdong Province,Guangzhou 510405,China)

机构地区：[1]广州中医药大学附属茂名市中医院儿科,广东茂名525000 [2]广州中医药大学研究生院,广东广州510405

出　　处：《中国中医药现代远程教育》2021年第15期87-90,共4页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨中药外洗方联合西药治疗小儿邪犯肺卫型水痘的临床效果。方法选取2018年1月—2019年3月茂名市中医院门诊收治的60例邪犯肺卫型水痘患儿,随机分为对照组和试验组,各30例。对照组口服阿昔洛韦片常规治疗及清水坐浴,每日1次;试验组口服阿昔洛韦片联合茂名市中医院门诊儿科经验中药外洗方熏洗,每日1次。1个疗程(5 d)后比较2组患儿的治疗效果、主要症状改善情况、中医证候总积分及汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分。结果试验组的治疗总有效率为86.67%(26/30),高于对照组的56.67%(17/30),差异有统计学意义(P<0.05);试验组的皮疹消退时间、热退时间、止痒时间及住院天数短于对照组,差异有统计学意义(P<0.01);试验组治疗后的中医证候总积分和HAMA评分低于对照组,差异均有统计学意义(P<0.05)。结论中药外洗方联合西药治疗小儿邪犯肺卫型水痘,能提高患儿的临床治疗效果,改善患儿的主要症状和负面情绪,值得临床推广应用。Objective To investigate clinical effect on treating varicella by parse wind clearing heat and detoxification and removing damp therapy and the influence of HAMA scores.Methods 60 cases with varicella were randomly divided into control group and experimental group,with 60 cases in each group.The control group used acyclovir western medicine and a clear water bath once daily.The experimental group was treated with experienced external traditional Chinese medicine prescription treatment from our hospital of dermatological department by parse wind clearing heat and detoxification and removing damp method based on the control group of Western medicine.After five days’treatment,the clinical curative effect,HAMA scores and traditional Chinese medicine syndrome score was compared.Results The total effective rate of the experimental group was 86.67%(26/30),which was higher than 56.67%(17/30)of the control group,and the difference was statistically significant(P<0.05).The time of rash regression,fever regression,antipruritic time and hospital stay in the experimental group were shorter than those in the control group,and the difference was statistically significant(P<0.01).The total scores of TCM syndromes and HAMA scores in the experimental group after treatment were lower than those in the control group,with statistical significance(P<0.05).Conclusion The combination of external Chinese medicine and western medicine in the treatment of children with pathogenic pulmonary varicella can improve the clinical treatment effect,improve the main symptoms and negative emotions of children,and is worthy of clinical promotion and application.

关 键 词：水痘 疏风清热 解毒除湿 邪犯肺卫 HAMA评分 中药外洗法 中西医结合疗法 

分 类 号：R725.1[医药卫生—儿科]