中药穴位敷贴辅助治疗儿童非细菌性发热的临床研究  

Clinical study of traditional Chinese medicine acupoint application in the adjuvant treatment of non-bacterial fever in children

作　　者：吴志坚 陈秋萍[1] 廖婵[1] 刘素云[1] 程均[1] 吴小秧[1] 刘明[1] 罗勤[1] WU Zhijian;CHEN Qiuping;LIAO Chan;LIU Suyun;CHENG Jun;WU Xiaoyang;LIU Ming;LUO Qin(Department of Pediatrics,Pingxiang City People's Hospital,Jiangxi Province,Pingxiang 337000,China)

机构地区：[1]江西省萍乡市人民医院儿科,江西萍乡337000

出　　处：《中国当代医药》2022年第36期97-99,共3页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP220200547)。

摘　　要：目的 探讨中药穴位敷贴辅助治疗儿童非细菌性发热的临床效果。方法 选取2021年1月至12月萍乡市人民医院收治的100例非细菌性发热患儿作为研究对象,按随机数字表法分为对照组与观察组,每组各50例。对照组予以小儿氨酚黄那敏治疗,观察组在对照组的基础上加用中药穴位敷贴治疗。两组患儿均持续用药3 d。比较两组患儿的退热效果、退热情况、不良反应发生情况。结果 观察组1、2、4、6 h时的治疗总有效率为42.00%、60.00%、72.00%、94.00,高于对照组的22.00%、40.00%、52.00%、80.00%,差异有统计学意义(P<0.05);观察组的降温起效时间[(0.68±0.13)h]、体温降至正常时间[(16.52±2.04)h]短于对照组[(0.82±0.15)、(18.34±2.15)h],降温持续时间[(6.85±1.13)h]长于对照组[(5.89±1.07)h],差异有统计学意义(P<0.05);两组患儿的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论 中药穴位敷贴辅助治疗能够提高非细菌性发热患儿的退热效果,加快体温复常,安全可靠。Objective To investigate the clinical effect of traditional Chinese medicine acupoint application in the adjuvant treatment of non-bacterial fever in children. Methods A total of 100 children with non-bacterial fever who were admitted to Pingxiang City People’s Hospital from January to December 2021 were selected as research objects,they were divided into the control group and the observation group according to the random number table method, with50 cases in each group. The control group was treated with Paediatric Paracetamol, Atificial Cow-bezoar and Chlorphenamine Maleate, and the observation group was additionally treated with traditional Chinese medicine acupoint on the basis of the control group. Both groups were treated continuously for 3 days. The antipyretic effect, antipyretic condition and the incidence of adverse reaction of the two groups were compared. Results The total effective rates of treatment at 1, 2, 4 and 6 h in the observation group were 42.00%, 60.00%, 72.00% and 94.00%, which were higher than those in the control group, which were 22.00%, 40.00%, 52.00% and 80.00%, and the differences were statistically significant(P<0.05). The onset time of cooling([0.68±0.13] h) and the time for body temperature to drop to normal([16.52±2.04]h) in the observation group were shorter than those in the control group([0.82±0.15] h, [18.34±2.15] h),the duration of cooling([6.85±1.13] h) in the observation group was longer than that of the control group([5.89±1.07]h), the differences were statistically significant(P<0.05). There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05). Conclusion The adjuvant therapy of traditional Chinese medicine acupoint application can improve the antipyretic effect of children with non-bacterial fever, and accelerate the return of body temperature, which is safe and reliable.

关 键 词：非细菌性发热 中药穴位敷贴 小儿氨酚黄那敏 退热效果 不良反应 

分 类 号：R725.6[医药卫生—儿科]