發(fā)布時(shí)間：2018-09-16 21:03

【摘要】：目的：觀察特定穴刮痧治療小兒外感發(fā)熱的臨床療效,為小兒外感發(fā)熱提供簡(jiǎn)便、易行的臨床治療方法。 方法：選擇符合本課題標(biāo)準(zhǔn)的患兒60例,按照隨機(jī)數(shù)字表法隨機(jī)分為治療組及對(duì)照組各30例。對(duì)照組：常規(guī)治療(抗病毒治療及對(duì)癥處理,白細(xì)胞高于10.0×109/L者同時(shí)予抗細(xì)菌治療)；治療組：常規(guī)治療并配合特定穴(三關(guān)、六腑、天河水)刮痧治療；3天為1個(gè)療程。通過(guò)對(duì)比兩組的體溫及總體療效的變化情況,評(píng)價(jià)特定穴刮痧治療外感發(fā)熱的臨床療效。 結(jié)果：治療組退熱的起效時(shí)間明顯優(yōu)于對(duì)照組(P0.05),治療組的起效時(shí)間為4.47±2.93時(shí),對(duì)照組的起效時(shí)間為6.57±3.50時(shí)。治療組體溫降至正常的時(shí)間優(yōu)于對(duì)照組(P0.05)。兩組間總體療效無(wú)明顯差異(P0.05),其中治療組痊愈3例,顯效12例,有效11例,無(wú)效4例,臨床總有效率86.7%；對(duì)照組痊愈2例,顯效9例,有效14例,無(wú)效5例,總有效率83.3%。刮痧后30min內(nèi),體溫較前有所下降(P0.05)。 結(jié)論：應(yīng)用特定穴刮痧法治療小兒外感發(fā)熱可明顯縮短退熱的起效時(shí)間和恢復(fù)正常體溫的時(shí)間,對(duì)小兒外感發(fā)熱的治療有積極的臨床意義。
[Abstract]:Objective: to observe the clinical effect of special acupoint scraping in treating children with exogenous fever, and to provide a simple and easy clinical treatment for children with exogenous fever. Methods: 60 children were randomly divided into treatment group (n = 30) and control group (n = 30). Control group: routine treatment (antiviral therapy and symptomatic treatment, leukocyte more than 10.0 脳 109 / L), treatment group: routine treatment and combined with specific points (Sanguan, Liufu, Tianhe water) scraping treatment for 3 days as a course of treatment. By comparing the changes of body temperature and total curative effect between the two groups, the clinical effect of treatment of external fever with specific acupoint scraping was evaluated. Results: the onset time of antipyretic in the treatment group was significantly better than that in the control group (P0.05). The onset time of the treatment group was 4.47 鹵2.93, and that of the control group was 6.57 鹵3.50. The time of body temperature drop to normal in the treatment group was better than that in the control group (P0.05). There was no significant difference between the two groups (P0.05). In the treatment group, 3 cases were cured, 12 cases were effective, 11 cases were effective, 4 cases were ineffective, and the total clinical effective rate was 86.7%, while in the control group, 2 cases were cured, 9 cases were effective, 14 cases were effective, 5 cases were ineffective, and the total effective rate was 83.3%. After scraping, the body temperature in 30min was lower than that before (P0.05). Conclusion: the application of special acupoint scraping method in the treatment of children with external fever can significantly shorten the time of antipyretic effect and return to normal body temperature, which has positive clinical significance for the treatment of children with external fever.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類(lèi)號(hào)】：R272;R244.4

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