刺络放血疗法治疗小儿发热咽痛临床观察  

Collateral Pricking and Bloodletting Therapy in the Treatment of Fever and Pharyngeal Pain in Children

作　　者：唐露香 黄玉凤[1] 方小平[1] TANG Luxiang;HUANG Yufeng;FANG Xiaoping(Department of Pediatrics,Xingguo County People’s Hospital,Jiangxi Province,Ganzhou 342400,China)

机构地区：[1]江西省兴国县人民医院儿科,江西赣州342400

出　　处：《中国中医药现代远程教育》2024年第24期118-120,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨对发热咽痛患儿采取刺络放血疗法的临床效果。方法选择2020年8月—2022年8月兴国县人民医院儿科接受治疗的发热咽痛患儿66例,依据随机数字表法分为对照组及观察组,各33例。对照组给予退热西药(苯巴比妥片)治疗,观察组在对照组基础上给予刺络放血疗法。对比两组临床疗效、治疗前后中医证候积分(声音嘶哑、咽喉肿痛、痰稠色黄)及治疗后1 d内复发率。结果观察组治疗总有效率为96.97%(32/33),高于对照组的78.79%(26/33)(P<0.05)。治疗后,两组声音嘶哑、咽喉肿痛、痰稠色黄的中医证候积分均低于治疗前,且观察组各项积分均低于对照组(P<0.05)。治疗后1 d内,观察组复发率为3.03%(1/33),低于对照组的24.24%(8/33)(P<0.05)。结论以刺络放血疗法治疗小儿发热咽痛,可加快其体温复常,促进病症所致声音嘶哑、咽喉肿痛等症状消退,阻止体温反复异常升高。Objective To investigate the clinical effect of collateral pricking and bloodletting therapy on children with fever and pha⁃ryngeal pain.Methods A total of 66 children with fever and pharyngeal pain who received treatment in Xingguo County People’s Hos⁃pital from August 2020 to August 2022 were selected as research objects,and were divided into control group and observation group respectively according to the grouping criteria of random number table method,with 33 cases in each group.The control group was treated with antipyretic Western medicine(phenobarbital tablets).The observation group was treated with collateral pricking and bloodletting therapy on the basis of the control group.The efficacy,TCM syndrome scores(hoarseness,sore throat,thick and yellow color phlegm)before and after treatment and the recurrence rate within one day after treatment were compared.Results The total effec⁃tive rate of the observation group was 96.97%(32/33),which was higher than 78.79%(26/33)of the control group(P<0.05).After treat⁃ment,the scores of hoarseness,sore throat,thick and yellow color phlegm in both groups were lower than before treatment,and the scores of various symptoms in the observation group were lower than those in the control group(P<0.05).The recurrence rate in the ob⁃servation group was 3.03%(1/33)within one day after treatment,which was lower than 24.24%(8/33)in the control group(P<0.05).Conclusion Collateral pricking and bloodletting therapy for children with fever and pharyngeal pain can accelerate the recovery of body temperature,promote the disappearance of hoarseness,sore throat and other symptoms caused by the disease,and prevent the re⁃peated abnormal rise of body temperature.

关 键 词：发热 咽痛 刺络放血疗法 儿科 

分 类 号：R246.81[医药卫生—针灸推拿学]