基于吴鞠通《温病条辨》理论思想探析青蒿鳖甲汤治疗骨科术后阴虚发热的临床效果  

Exploration on the clinical effect of Qinghao Biejia Decoction in the treatment of fever due to yin deficiency after orthopaedics surgery based on WU Jutong′s Differentiation of Syndromes in Epidemic Febrile Diseases

作　　者：徐王兵[1] 钟发明[1] 付文红 熊朋朋 吴睿清 XU Wangbing;ZHONG Faming;FU Wenhong;XIONG Pengpeng;WU Ruiqing(Department of Spinal Orthopedics,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330006,China;Department of Radiotherapy,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西中医药大学附属医院脊柱骨科,江西南昌330006 [2]江西省肿瘤医院放疗科,江西南昌330006

出　　处：《中国当代医药》2023年第36期133-136,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划课题(2020B0163)。

摘　　要：目的 基于吴鞠通《温病条辨》理论思想探析青蒿鳖甲汤治疗骨科术后阴虚发热的临床效果。方法 选取2020年10月至2022年12月江西中医药大学附属医院收治的80例骨科术后阴虚发热患者为研究对象,按照入院顺序对上述患者进行编号,采用随机数字表法将患者分为对照组(n=40)与治疗组(n=40),对照组患者采用常规治疗方法,治疗组患者给予青蒿鳖甲汤治疗。比较两组患者的临床疗效、退热起效时间、退热持续时间、中医症状积分以及治疗过程中出现的不良反应情况。结果 治疗5 d后,治疗组的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗组的退热起效时间短于对照组,差异有统计学意义(P<0.05)。治疗组的退热持续时间长于对照组,差异有统计学意义(P<0.05)。治疗5 d后,治疗组失眠多梦、心烦盗汗、五心发热中医症状积分低于对照组,差异有统计学意义(P<0.05)。治疗5 d后,治疗组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论 青蒿鳖甲汤治疗骨科术后阴虚发热效果良好,可以显著改善患者临床症状,且安全性良好。Objective To explore the clinical effect of Qinghao Biejia Decoction in the treatment of fever due to yin deficiency after orthopaedics surgery based on WU Jutong's Differentiation of Syndromes in Epidemic Febrile Diseases.Methods A total of 80 patients with fever due to yin deficiency after orthopedic surgery admitted to Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from October 2020 to December 2022 were selected as the study objects.The patients were numbered according to the order of admission,and they were divided into control group(n=40) and treatment group(n=40) according to random number table method.The control group received conventional treatment,the treatment group was given Qinghao Biejia Decoction.The clinical efficacy,onset time of antipyretic fever,duration of antipyretic fever,traditional Chinese medicine symptom score and adverse reactions occurred in the course of treatment were compared between the two groups.Results After 5 days of treatment,the total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).The onset time of antipyretic fever in the treatment group was shorter than that in the control group,the difference was statistically significant(P<0.05).The duration of antipyretic fever in the treatment group was longer than that in the control group,and the difference was statistically significant(P<0.05).After 5 days of treatment,the scores of traditional Chinese Medicine symptoms of insomnia,dreaminess,upset night sweats and dysphoria in chestpalms-soles in the treatment group were lower than those in the control group,and the differences were statistically significant(P<0.05).After 5 days of treatment,the total incidence of adverse reactions in the treatment group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Qinghao Biejia Decoction has good curative effect on fever due to yin deficiency after orthopedic surgery,a

关 键 词：吴鞠通 《温病条辨》 中医理论思想 青蒿鳖甲汤 阴虚发热 

分 类 号：R289.5[医药卫生—方剂学]