三字经流派小儿推拿治疗幼儿急疹的临床效果观察  

Clinical Effect of Three-character-classic School Pediatric Massage in the Treatment of Exanthema Subitem

作　　者：周丽娟 胥卫青 郭晓琳 ZHOU Li-juan;XU Wei-qing;GUO Xiao-lin(Department of Pediatrics,Qingdao Hospital of Traditional Chinese Medicine Qingdao Hiser Hospital,Qingdao,Shandong 266033,China)

机构地区：[1]青岛市中医医院市海慈医院儿科,山东青岛266033

出　　处：《临床误诊误治》2022年第9期86-89,共4页Clinical Misdiagnosis & Mistherapy

基　　金：2013年青岛市中医科研计划(QHKY-2013-zyy009);山东省中医药科技项目(2020M109)。

摘　　要：目的观察三字经流派推拿治疗幼儿急疹的临床效果。方法选取2017年3月—2022年2月收治的幼儿急疹183例,根据治疗方法的不同分为对照组58例、推拿组64例、中成药组61例。对照组予常规对症处理;推拿组在常规处理基础上给予三字经流派推拿;中成药组在常规处理基础上给予儿童回春颗粒口服。观察3组患儿临床疗效,发热期间每日服用退热药次数、发热持续时间、出疹持续时间、总病程,粒细胞减少、粒细胞缺乏恢复率,以及不良反应发生情况。结果3组均治愈,无并发症及后遗症发生。推拿组发热期间每日服用退热药次数明显少于对照组、中成药组(P<0.05)。推拿组、中成药组发热持续时间、出疹持续时间和总病程均明显短于对照组,且推拿组发热持续时间、出疹持续时间和总病程亦短于中成药组(P<0.05)。推拿组粒细胞减少、粒细胞缺乏恢复率明显高于对照组、中成药组(P<0.05)。推拿组治疗中无一例发生不良反应。结论三字经流派推拿可以作为辅助治疗幼儿急疹的新方法且安全有效。Objective To observe the clinical effect of three-character-classic school pediatric massage in the treatment of exanthema subitem.Methods The infants with exanthema subitem who were treated from March 2017 to February 2022 were randomly divided into control group(n=58),massage group(n=64),and Traditional Chinese Medicine(TCM)patent prescription group(n=61),according to different treatment methods.The control group was given routine symptomatic treatment;the massage group was given three-character-classic school pediatric massage on the basis of the routine treatment;the TCM patent prescription group was given the Ertong Huichun Granules orally on the basis of the routine treatment.The clinical efficacy in the three groups was observed,the number of daily antipyretics,the duration of fever,the duration of rash,the total course of disease,the recovery rate of neutropenia and agranulocytosis,and the occurrence of adverse reactions during fever were observed.Results All three groups were cured without complications and sequelae.The frequency of the use of antipyretics every day in the massage group during fever was significantly less than that in the control group and the TCM patent prescription group(P<0.05).The duration of fever,the duration of rash and the total disease duration in the massage group and the TCM patent prescription group were significantly shorter than those in the control group,and the fever duration,rash duration and total disease duration in the massage group were also shorter than those in the TCM patent prescription group(P<0.05).The recovery rate of neutropenia and agranulocytosis in the massage group was significantly higher than that in the control group and the TCM patent prescription group(P<0.05).No adverse events occurred during treatment in the massage group.Conclusion The three-character-classic school pediatric massage can be used as a new method for adjuvant treatment of acute rash in children,which is safe and effective.

关 键 词：猝发疹 儿童 三字经流派 小儿推拿 发热持续时间 出疹持续时间 粒细胞减少 

分 类 号：R244.1[医药卫生—针灸推拿学]