發(fā)布時間：2018-06-17 09:52

  本文選題：藥浴療法 + 小兒外感發(fā)熱��； 參考：《河南中醫(yī)學院》2014年碩士論文

【摘要】：目的：①確定影響藥浴療法治療小兒外感發(fā)熱（風寒型）臨床療效的入浴時機、藥浴頻率、藥浴部位三個關鍵因素。②為制定藥浴療法的技術操作規(guī)范提供研究數(shù)據(jù)支持。 方法：收集符合入組標準的外感發(fā)熱(風寒型)患兒64例，依據(jù)入浴時機（發(fā)熱時、退熱時）、藥浴頻率（每日1次、每日2次）、藥浴部位（全身、雙足）的不同按2×2×2析因設計隨機分為8組，，每組8例。各組在口服小兒柴桂退熱顆粒和復方氨酚甲麻口服液基礎治療上進行相應的中藥藥浴治療，療程2天。記錄患兒48小時體溫變化情況，評價各組退熱效果，比較各組退熱起效時間、解熱時間、最高體溫降幅、體溫曲線下面積、退熱有效率及合并使用退熱藥次數(shù)。 結果：①各組退熱起效時間無顯著差異（P=0.752＞0.05）；②發(fā)熱時每日2次全身浴組（第3組）和退熱時每日2次足浴組（第8組）解熱時間明顯短于其他各組（P=0.002＜0.05）；③發(fā)熱時每日2次全身浴組（第3組）治療后第1、2天最高體溫降幅明顯高于其他各組（P1=0.032，P2=0.002，均＜0.05）；④發(fā)熱時每日2次全身浴組（第3組）和退熱時每日2次足浴組（第8組）治療后48h體溫曲線下面積明顯小于其他各組（P=0.015＜0.05）；⑤各組退熱有效率無顯著差異（P=0.748＞0.05）；⑥發(fā)熱時每日2次全身浴組（第3組）和退熱時每日2次足�。ǖ�8組）合并使用退熱藥次數(shù)明顯少于其他各組（P=0.003＜0.05）。 結論：①藥浴療法治療小兒外感發(fā)熱（風寒型）的最佳入浴時機、藥浴頻率、藥浴部位組合為發(fā)熱時、每日2次、全身浴和退熱時、每日2次、足浴。②常規(guī)治療聯(lián)合恰當?shù)闹兴幩幵≈委熆擅黠@縮短小兒外感發(fā)熱（風寒型）的解熱時間，降低患兒的熱峰，減小體溫曲線下面積，減少退熱藥的使用次數(shù)，但不能縮短退熱起效時間和影響最終退熱有效率。
[Abstract]:Objective: to determine the time for bath therapy to treat the clinical curative effect of exogenous fever (wind cold type), the frequency of the medicine bath and the three key factors of the location of the medicine bath. (2) provide the research data support for the technical operation standard of the medicine bath therapy.
Methods: 64 children with exogenous fever (wind cold type) were collected in accordance with the standard of entry. According to the time of entering the bath (fever, fever), the frequency of the medicine bath (1 times a day, 2 times a day), the different parts of the medicine bath (body, bipedal) were randomly divided into 8 groups according to the 2 x 2 x 2 factorial design, each group was taken orally by oral Chai Gui fever granules and compound amparol a hemp. On the basis of liquid foundation treatment, the corresponding Chinese medicine bath treatment was performed for 2 days. The temperature changes of the children were recorded for 48 hours, the effect of fever was evaluated, the time of antipyretic onset, the time of heat release, the maximum temperature drop, the area under the temperature curve, the efficiency of antipyretic and the number of antipyretic drugs were used.
Results: (1) there was no significant difference in the time for the onset of fever in each group (P=0.752 > 0.05); (2) 2 times daily body bath group (third groups) and 2 times daily (eighth groups) were significantly shorter than the other groups (P=0.002 < 0.05), and the highest temperature decline was significantly higher in the day 1,2 day after fever (Group Third). Other groups (P1=0.032, P2=0.002, all < 0.05); (4) 2 times daily body bathing group (third groups) and 2 times daily foot bath (eighth groups) after fever (eighth groups), after treatment, the area under the temperature curve of 48h was significantly smaller than the other groups (P=0.015 < 0.05); 5. There was no significant difference in the rate of fever (P=0.748 > 0.05) in each group (P=0.748 > 0.05); (6) 2 times a day in the whole body bath group ( The third group) and the 2 times of foot bath (eighth groups) during the fever period were significantly fewer than those in the other groups (P=0.003 < 0.05).
Conclusion: (1) the best bath time, the frequency of medicine bath and the combination of the part of the medicine bath for fever, 2 times a day, 2 times a day and a foot bath when the body bath and the fever are combined, and the combination of the conventional treatment and the proper medicine bath treatment can obviously shorten the time of heat release in children's exogenous fever (wind cold type) and reduce the children's fever. The heat peak decreases the area under the body temperature curve and reduces the frequency of the use of antipyretic drugs, but it can not shorten the onset time of the antipyretic effect and affect the effective rate of final antipyretic.
【學位授予單位】：河南中醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R272

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