对外感风热型高热患者采取针刺结合放血治疗的临床效果观察  

Observation on clinical effect of acupuncture combined with bloodletting treatment on patients with exogenous wind-heat type high fever

作　　者：梁玮 LIANG Wei(Department of Emergency,Dalian Hospital of Traditional Chinese Medicine,Dalian 116000,China)

机构地区：[1]大连市中医医院急诊科,116000

出　　处：《中国现代药物应用》2024年第7期151-154,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨对外感风热型高热患者采取针刺结合放血治疗的效果。方法90例外感风热型高热患者,随机分为试验组和对照组,每组45例。对照组患者采取临床传统降温治疗方法,试验组患者在临床传统降温治疗方法的基础上采取针刺结合放血治疗。比较两组患者退热效果、治疗后相关症状积分、起效时间、解热时间、痊愈时间。结果试验组患者治疗后退热总有效率86.67%高于对照组的51.11%,差异有统计学意义(P<0.05)。试验组患者治疗后2、3.5 h相关症状积分分别为(31.12±7.13)、(14.82±7.11)分,均低于对照组患者的(42.25±7.11)、(32.21±7.12)分,差异有统计学意义(P<0.05)。试验组患者治疗后起效、解热和痊愈时间分别为(1.02±0.05)、(18.50±0.12)、(20.20±1.42)h,均短于对照组患者的(1.06±0.03)、(20.45±0.11)、(24.90±1.37)h,差异有统计学意义(P<0.05)。结论对外感风热型高热患者采取针刺结合放血治疗临床效果显著,有良好的安全性,值得临床推广。Objective To explore the effect of acupuncture combined with bloodletting treatment on patients with exogenous wind-heat type high fever.Methods 90 patients with exogenous wind-heat type high fever were randomly divided into an experimental group and a control group,with 45 cases in each group.The control group was treated with clinical traditional cooling therapy,while the experimental group was treated with acupuncture combined with bloodletting on the basis of clinical traditional cooling therapy.The antipyretic effects,symptom score after treatment,onset time,antipyretic time,and recovery time were compared between the two groups.Results After treatment,the total antipyretic effective rate in the experimental group was 86.67%,which was higher than 51.11%in the control group,and the difference was statistically significant(P<0.05).The scores of related symptoms of the experimental group were(31.12±7.13)and(14.82±7.11)points at 2 and 3.5 h after treatment,which were lower than(42.25±7.11)and(32.21±7.12)points of the control group,and the difference was statistically significant(P<0.05).After treatment,the onset time,antipyretic time and recovery time of the experimental group were(1.02±0.05),(18.50±0.12)and(20.20±1.42)h,which were shorter than(1.06±0.03),(20.45±0.11)and(24.90±1.37)h of the control group.The difference was statistically significant(P<0.05).Conclusion For patients with exogenous wind-heat type high fever,acupuncture combined with bloodletting therapy has significant clinical effects and high safety for patients,and is worth promoting in clinical practice.

关 键 词：外感风热型高热 针刺 放血 

分 类 号：R259[医药卫生—中西医结合]