疏风泄腑推拿法联合布洛芬混悬滴剂(美林)治疗小儿外感发热的临床疗效观察  

Clinical curative efficacy observation of massage therapy for dispelling wind and releasing fu-organs combined with ibuprofen suspension drops(Meilin)in treating exogenous fever in children

作　　者：孔智谦 莫梦莹 黎剑锋 黄海燕[1] Kong Zhiqian;Mo Mengying;Li Jianfeng;Huang Haiyan(Dongguan Hospital of Guangzhou University of Chinese Medicine,Dongguan Guangdong 523000)

机构地区：[1]广州中医药大学东莞医院,广东东莞523000

出　　处：《山西中医药大学学报》2025年第1期41-45,52,共6页Journal of Shanxi University of Chinese Medicine

基　　金：2021年东莞市社会发展科技项目(20211800900132);东莞市名中医药专家黄海燕传承工作室建设项目。

摘　　要：目的:观察疏风泄腑推拿法联合布洛芬混悬滴剂(美林)口服治疗小儿外感发热的临床疗效,探讨疏风泄腑推拿法对发热患儿即刻退热的有效性。方法:选取2021年12月—2023年9月广州中医药大学东莞医院发热门诊及急诊科就诊的明确诊断为小儿外感发热的120例高热患者,随机分为试验组和对照组,每组60例。试验组采用疏风泄腑推拿法联合布洛芬混悬滴剂(美林)口服治疗,对照组单纯应用口服布洛芬混悬滴剂(美林)治疗,首次治疗1 d内多次随访。观察治疗前、治疗后30 min,1 h,2 h,3 h,4 h患者各时间节点体温,并记录体温的下降程度、治疗后24 h内使用布洛芬混悬滴剂(美林)的次数及再次使用布洛芬混悬滴剂(美林)间隔时间、治疗前后中医证候评分以及发生的不良事件。结果:(1)与治疗前比较,对照组及试验组患者治疗30 min,1 h,2 h,3 h,4 h后体温均降低,差异有统计学意义(P<0.05);治疗30 min后,试验组患者较对照组体温降低不明显,差异无统计学意义(P>0.05);治疗1 h、2 h、3 h、4 h后,试验组患者体温低于对照组,差异均有统计学意义(P<0.05);(2)治疗1 d后,试验组患者治疗总有效率(96.49%)明显高于对照组治疗总有效率(82.76%),差异有统计学意义(P<0.05);(3)治疗后,两组患者中医证候评分均较治疗前明显降低,且试验组中医证候评分降低更明显,差异有统计学意义(P<0.05);(4)研究过程中,两组患儿均未出现惊厥抽搐、药物不良反应,试验组患儿也未出现推拿后的皮肤、肌肉损伤等情况,因此,可认为疏风泄腑推拿法安全可靠。结论:疏风泄腑推拿法联合布洛芬混悬滴剂(美林)治疗在增大退热幅度、延长退热持续时间、减少1 d内布洛芬混悬滴剂(美林)使用次数、缓解其他伴随症状等方面优于单纯使用布洛芬混悬滴剂(美林)治疗。Objective:To observe the clinical curative efficacy of massage therapy for dispelling wind and releasing fuorgans combined with oral ibuprofen suspension drops(Meilin)in treating exogenous fever in children,and to explore the effectiveness of massage therapy for dispelling wind and releasing fu-organs on the immediate antipyretic effect in children with fever.Methods:From December 2021 to September 2023,a total of 120 children with high fever diagnosed as exogenous fever in the fever clinic and Emergency Department of Dongguan Hospital of Guangzhou University of Chinese Medicine were selected and randomly divided into the experimental group and the control group,with 60 cases in each group.Patients in the experimental group were treated with massage therapy for dispelling wind and releasing fu-organs combined with oral ibuprofen suspension drops(Meilin).Patients in the control group were treated with oral ibuprofen suspension drops(Meilin)only,and were followed up several times within 1 day of the first treatment.The body temperature of patients at each time node was observed before treatment and 30 min,1 h,2 h,3 h,4 h after treatment.The degree of decrease in body temperature,the times of using ibuprofen suspension drops(Meilin)within 24 h after treatment,the interval time of using ibuprofen suspension drops(Meilin)again,the TCM syndrome scores before and after treatment,and the adverse events were recorded.Results:(1)Compared with that before treatment,the body temperature of patients in the control group and the experimental group decreased 30 min,1 h,2 h,3 h and 4 h after treatment,and the differences were statistically significant(P<0.05);after 30 minutes of treatment,the body temperature of the patients in the experimental group was not significantly lower than that of the control group,and the difference was not statistically significant(P>0.05);after 1 h,2 h,3 h and 4 h of treatment,the body temperature of the patients in the experimental group was lower than that of the control group,and the differences

关 键 词：疏风泄腑推拿法 外感发热 小儿推拿 

分 类 号：R272[医药卫生—中医儿科学]