穴位贴敷在婴幼儿发热中的临床疗效观察
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摘要
目的为了更好控制婴幼儿发热并预防不良事件发生,观察穴位贴敷的临床应用价值和意义。方法随机从2017年11月～2018年10月因发热来就诊的婴幼儿中选取150例作为研究对象,并按照随机、双盲、对照原则将其分为对照组和观察组,两组各75例,对照组采用常规方案如物理降温、口服布洛芬混悬液等治疗,观察组在对照组治疗方法基础上加用穴位贴敷治疗。观察两种治疗方案的疗效以及对开始出汗时间、起效时间等的影响。结果观察组患儿用药后的总有效率为96.00%,对照组为80.00%,差异有统计学意义(P <0.05);观察组患儿用药后最大作用时间、1 h内体温降低度数、首次出汗时间分别为(150.77±10.80)min、(0.65±0.16)℃、(27.50±11.05)min,对照组分别为(125.50±12.48)min、(0.55±0.21)℃、(36.45±11.05)min,差异有统计学意义(P <0.05)。结论婴幼儿发热在常规治疗方法的基础上辅以穴位贴敷,既可以在一定程度上增强疗效,又可以快速改善临床症状,减轻患儿痛苦,效果显著。
Objective To observe the clinical application value and significance of Acupoint Application in order to better control infantile fever and prevent adverse events. Methods 150 infants with fever who came to our hospital from November 2017 to October 2018 were randomly selected and divided into two groups according to the principles of randomization, double blindness and control. Among them, 75 infants were divided into control group and 75 infants were divided into control group according to routine treatment such as physical cooling and oral ibuprofen suspension. On the basis of the treatment method, the children treated with acupoint application were listed as the observation group, and the effects of the two treatment schemes on the total curative effect, the onset time of sweating and the onset time were observed. Results In this study, the total effective rate of the observation group was 96.00% and that of the control group was 80.00%, the difference was statistically significant(P < 0.05); The time of action, the degree of temperature decrease within one hour and the time of first sweating were(150.77±10.80) min,(0.65 ±0.16)℃,(27.50 ±11.05) min, in the control group were(125.50±12.48) min,(0.55±0.21) ℃,(36.45±11.05) min, the difference was statistically significant(P < 0.05). Conclusion On the basis of routine treatment for infantile fever, acupoint application can not only enhance the curative effect to a certain extent, but also improve the clinical symptoms quickly and relieve the pain of children, the effect is remarkable.
Objective To observe the clinical application value and significance of Acupoint Application in order to better control infantile fever and prevent adverse events. Methods 150 infants with fever who came to our hospital from November 2017 to October 2018 were randomly selected and divided into two groups according to the principles of randomization, double blindness and control. Among them, 75 infants were divided into control group and 75 infants were divided into control group according to routine treatment such as physical cooling and oral ibuprofen suspension. On the basis of the treatment method, the children treated with acupoint application were listed as the observation group, and the effects of the two treatment schemes on the total curative effect, the onset time of sweating and the onset time were observed. Results In this study, the total effective rate of the observation group was 96.00% and that of the control group was 80.00%, the difference was statistically significant(P < 0.05); The time of action, the degree of temperature decrease within one hour and the time of first sweating were(150.77±10.80) min,(0.65 ±0.16)℃,(27.50 ±11.05) min, in the control group were(125.50±12.48) min,(0.55±0.21) ℃,(36.45±11.05) min, the difference was statistically significant(P < 0.05). Conclusion On the basis of routine treatment for infantile fever, acupoint application can not only enhance the curative effect to a certain extent, but also improve the clinical symptoms quickly and relieve the pain of children, the effect is remarkable.
引文
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[11]秦贲贲.小儿手足口病清解透表汤合银翘散加减治疗临床观察.中医临床研究,2017,9(18):82-83.
[12]游德敏,黄仕辉.布洛芬缓释液联合常规疗法治疗小儿感冒发热的临床效果及安全性分析.基层医学论坛,2016,20(7):919-920.
[2]赵淑景,王芳,周倩.小儿外感发热中医内治法概述.中国中医急症,2013,22(8):1376-1378.
[3]陈杰,彭东.感冒发热的处理.吉林医药学院学报,2013,34(4):274-276.
[4]舒航.布洛芬混悬液与对乙酰氨基酚在小儿高热治疗中的临床疗效观察.北方药学, 2015,12(3):82.
[5]王玉杰,胡剑,赵凯.布洛芬混悬液口服治疗儿童急性发热退热的疗效观察.临床合理用药杂志,2013,6(21):47-48.
[6]茹鲜古丽·阿布都热衣木.布洛芬和对乙酰氨基酚在儿科解热中的疗效观察.中国社区医师,2016,32(25):84.
[7]张色华.布洛芬和对乙酰氨基酚治疗小儿感染性发热的效果及安全性.北方药学, 2016,13(7):152-153.
[8]胡燕敏.麻杏石甘汤合银翘散加减治疗小儿支气管肺炎20例临床观察.内蒙古中医药,2017,36(6):18-18.
[9]刘伟.麻杏石甘汤合银翘散加减治疗小儿支气管肺炎33例临床观察.内蒙古中医药,2017,36(12):42-42.
[10]肖白梁.麻杏石甘汤合银翘散加减治疗小儿支气管肺炎的临床观察.医学信息,2016,29(27):281-281.
[11]秦贲贲.小儿手足口病清解透表汤合银翘散加减治疗临床观察.中医临床研究,2017,9(18):82-83.
[12]游德敏,黄仕辉.布洛芬缓释液联合常规疗法治疗小儿感冒发热的临床效果及安全性分析.基层医学论坛,2016,20(7):919-920.