清降膏辅助治疗小儿外感发热(风热犯表型)的临床疗效观察
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摘要
目的:应用清降膏配合中药口服治疗,对小儿外感发热(风热犯表型)病例进行临床治疗观察,分析清降膏治疗此病的临床疗效。
     方法:采用随机分组对照,对门诊治疗60例小儿外感发热风热犯表型患儿进行临床观察。治疗组:中药清降膏敷贴配合口服银翘散加减,敷贴为1日1次,1次贴8-12个小时。清降膏成分为山栀子、吴茱萸、石膏等。对照组:单纯口服银翘散加减:方药组成(金银花、荆芥、柴胡、连翘、知母、薄荷、豆豉、芦根、牛蒡子、桔梗、甘草等),3天为一疗程,一般观察1个疗程。
     结果:
     1治疗组对小儿外感发热的总有效率为96.67%,对照组总有效率为86.67%。两组临床疗效相比有显著性差异(P<0.05)。证实治疗组疗效明显优于对照组。
     2两组药物治疗后,疗程数据经统计学分析(P<0.01),两组具有显著性差异,治疗组疗程较对照组明显缩短。
     3本次试验中未观察到患儿有心、肝、肾功能以及其他系统的不良反应。
     结论:清降膏配合中药口服治疗小儿外感发热的疗效确切,在退热时间、主要症状消失等方面均优于对照组,且能明显改善临床各种主要症状及体征,起效迅速,退热持续,不易反复,缩短疗程,无毒副作用。
Purpose: The clear-down topical ointment (CDTO)was used to assist Chinese medicinein this study, to observe the clinical effect and safety on the exogenous fever in children(EFIC)(wind-heat guilty phenotype), thus to provide more effective treatments.
     Methods: A randomized controlled, outpatient treatment of60cases of children withexogenous fever wind and heat guilty of phenotype in children with clinical observation.Treatment groups: oral CDTO addition and subtraction with the clear and descending Chinesemedicine cream applicator, stick8-12hours once, and once per day. Clear down the pastecomposition of Evodia, mountain gardenia, gypsum, etc…Control group: treated with oralCDTO addition and subtraction: Recipe composition (honeysuckle, forsythia, mint, Nepeta,tempeh, Platycodon, Arctium, Bupleurum, Anemarrhena, licorice, reed, etc.), three days atreatment, the general observation of the1~2courses.
     Results:1. Treatment of children with exogenous fever treatment group total effectiverate was96.67%, and the total effective rate of control group was86.67%. The clinicalefficacy compared to the significant difference (P <0.05). Confirmed the efficacy of thetreatment group has a significant advantage.
     2. The two groups after drug treatment, the treatment data by statistical analysis (P<0.01), two groups with significant difference between treatment group treatment than thecontrol group was significantly shorter.
     3. This trial was not found in children with heart, liver, renal and other systems ofadverse reaction.
     Conclusion:The applied of CDTO had exact effects on EFIC, in the cooling time, themain symptoms and significant improvement in clinical symptoms and signs, rapid onset,fever continued and difficultrepeatedly to shorten the course of treatment, non-toxic sideeffects.
引文
[1]陈文治,等.瓜霜退热灵对小儿发热的治疗作用[J].武汉市职工医学院学报,2001;4(29):21~22
    [2]王清怀.解热回春饮治疗高热226例[J].山东中医杂志.1992;11(4):20
    [3]刘征利.香石清解袋泡剂治疗暑令病毒性上呼吸道感染高热239例[J].中医杂志,l992;33(8):29
    [4]李安源.新加正气汤加减治疗小儿发热300例临床观察[J].实用中西医结合杂志,1994;4(7):203~205
    [5]熊亚星,等.甘露消毒丹加味治疗小儿感染性发热临证分析[J].实用中医内科杂志,2003;17(1):50
    [6]杨少锋,等.外感解热灵冲剂治疗外感发热77例[J].新中医,l994;(1):39
    [7]温骥媛,等.清解汤治疗小儿急性发热290例临床分析与实验研究[J].北京中医,1994;3:37~39
    [8]张仲海,等.柴葛清热颗粒治疗上感高热疗效机理研究[J].深圳中西医结合杂志,2003;13(6):23~27
    [9]李淑英,等.清热消食散加减治疗小儿感冒发热120例[J].河北中医,2004;26(7):507
    [10]王鲁莉,等.蒲金汤加减治疗小儿外感发热80例[J].四川中医,2001;10(19):55
    [11]陈赛斌,高树彬,田志伟.中药外敷涌泉穴治疗婴幼儿外感高热2165例[J].福建中医学院学报,2010;20(4):40~41
    [12]王晓波,潘巧红,李丽娟.石膏贴敷曲池、大椎穴治疗小儿发热198例[J].湖南师范大学学报(医学版),2009;6(3):53~55
    [13]李志宏,等.栀萸膏治疗小儿发热50例[J].中国民间疗法,2001;9(4):29
    [14]宋黎,李紫璞,孔繁军.小儿退热散外敷神阙穴治疗小儿外感发热60例[J].中医外治杂志,2004;13(6):22
    [15]黄辉.小儿退热灌肠液治疗小儿外感发热246例[J].黑龙江中医药,2005;2:29~30
    [16]赵坚祥.直肠滴注解表退热液治疗小儿上感发热[J].浙江中医学院学报,1999;23(4):32
    [17]史纪,马丙祥,薛辉.退热灌注液治疗小儿外感发热106例临床观察[J].中国中医急症,1998;7(5):217
    [18]高修安.直肠滴注清解煎剂治疗小儿外感发热临床观察[J].中国中西医结合杂志,2004;24(2):162
    [19]王志敏,张笑吟.直肠滴入稚子清凉饮治疗小儿热性感冒临床观察[J].河南中医,2003;23(9):46
    [20]李一民,严伟.中药沐浴包治疗小儿感冒发热130例[J].中国中医急症,2006;11(15):1189
    [21]王瑞霞.青香退热浴治疗小儿外感发热300例[J].中国中医急症,2003;12(5):471
    [22]单海军,等.药浴治疗小儿外感发热的疗效观察[J].光明中医,2010;25(6):958~959
    [23]潘红云.推拿治疗小儿感冒发热30例[J].中国民间疗法,1998;(5):22
    [24]张利群.手法治疗小儿高热48例[J].四川中医,1999;1(17):54
    [25]孙丽峰,孙申田,王薇.毫针点刺足三里、四缝穴治疗小儿外感发热21例[J].针灸临床杂志,2010;26(11):21~22
    [26]王燕军,李春兰.耳尖放血治疗小儿外感发热126例[J].辽宁中医杂志2006;33(2):194~195
    [27]石志鸿,等.点穴与针刺治疗小儿发热63例临床观察[J].针灸临床杂志,1998;8(14):22~23
    [28]殷明.挤捏督脉及背俞穴退热的疗效观察[J].按摩与导引,1999;1(17):54
    [29]沈松友,乐群慧.柴胡注射液滴鼻治疗小儿高热68例[J].浙江中西医杂志,2000;10(2):119
    [30]刁本恕,刁灿阳,杨文贞.钱乙浴体法滴鼻法治疗小儿外感高热106例临床观察[J].中医外治杂志,2002;11(2):37
    [31]夏小军,等.中药小儿滴鼻退热液治疗小儿发热252例临床观察[J].实用中西医结合杂志,1995;8(10):591
    [32]刘晓东,等.热立清擦剂对小儿外感发热退热疗效的观察[J].成都中医药大学学报,2003;4(26):8~9
    [33]李燕宁,等.小儿退热按摩乳治疗小儿外感发热临床观察.新中医,2002;34(1):43~44
    [34]王凤枝.清开灵雾化吸入治疗小儿急性上呼吸道感染疗效观察[J].现代中西医结合杂志,2004;13(22)3000
    [35]李平.热毒宁注射液治疗儿童急性上呼吸道感染伴发热的疗效观察[J].世界中西医结合杂志,2008;3(10):605~606
    [36]马学梅,史美慧.喜炎平、清开灵、病毒唑对上呼吸道感染患儿退热效果的比较[J].中医儿科杂志,2009;5(3):17~18
    [37]冉素娟,丁继兰,吴小玫.中西医结合治疗小儿外感高热42例疗效观察[J].中国中医急症,2003;12(3):220
    [38]赖柏玉,吴秀清,范章辉.针刺穴位配合中药治疗小儿高热惊厥的研究[J].现代中西医结合杂志,2004;13(2):160
    [39]李小嘉.王静安中医内外合治法在儿科临床的应用[J].辽宁中医杂志,2009;36(1):122

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