本文選題：藥浴風(fēng)蛋療法　切入點(diǎn)：小兒　出處：《廣西中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:本課題采用藥浴風(fēng)蛋療法治療小兒外感發(fā)熱證,通過觀察治療前、后兩組患兒體溫及中醫(yī)癥狀體征積分變化情況,探討藥浴風(fēng)蛋療法對小兒外感發(fā)熱證的影響,評價其療效,為小兒外感發(fā)熱證的治療提供一個安全、規(guī)范、有效的綜合性新方法。方法:本課題符合納入標(biāo)準(zhǔn)的120例患兒全部來自廣西中醫(yī)藥大學(xué)第一臨床附屬醫(yī)院兒科門診。將患兒按就診先后順序編號,根據(jù)隨機(jī)數(shù)字表簡單隨機(jī)分組的原則,分為治療組和對照組各60例。兩組患兒每天治療1~2次,治療3天。當(dāng)患兒腋溫T38.5℃時,治療組僅予藥浴風(fēng)蛋療法,對照組僅予降溫貼、溫水擦浴等物理降溫方法。如患兒腋溫T≥38.5℃時,兩組都予對乙酰氨基酚混懸液口服,若患兒服用對乙酰氨基酚混懸液后,4小時內(nèi)仍腋溫T≥38.5℃者,可加用布洛芬混懸液口服。分別觀察記錄兩組患兒治療前的體溫,并從第1次治療后開始記錄0.5h、1h、2h、3h、4h、24h、48h、72h時兩組患兒的體溫,同時記錄兩組患兒治療前及治療后的中醫(yī)癥狀體征積分。觀察兩組患兒退熱起效時間、完全退熱時間、退熱藥服用情況、72h時退熱效果及中醫(yī)癥狀體征積分的變化情況。結(jié)果:1.兩組患兒在性別、年齡、病程分布、治療前體溫及治療前中醫(yī)癥狀體征積分方面比較,均P0.05,差異無統(tǒng)計學(xué)意義,提示兩組之間具有可比性;2.經(jīng)治療,治療組的退熱起效時間、完全退熱時間及退熱藥的服用例數(shù),均P0.05,治療組優(yōu)于對照組;治療后72h時,治療組退熱有效率為94.9%,對照組的退熱有效率為82.5%,P0.05,治療組退熱效果優(yōu)于對照組;3.分別比較兩組患兒自身治療前、后中醫(yī)癥狀體征總分及各項積分,均P0.05,差異有統(tǒng)計學(xué)意義,說明經(jīng)治療,兩組患兒癥狀體征較治療前都有所改善;比較治療后兩組患兒的中醫(yī)癥狀體征總分及各項積分,均P0.05,差異有統(tǒng)計學(xué)意義,說明經(jīng)治療,治療組中醫(yī)癥狀體征改善優(yōu)于對照組。4.比較兩組治療后的總有效率,P0.05,差異有統(tǒng)計學(xué)意義,說明經(jīng)治療,治療組總療效優(yōu)于對照組。結(jié)論:1.藥浴風(fēng)蛋療法對小兒外感發(fā)熱證有明確的療效;2.藥浴風(fēng)蛋療法可縮短退熱起效時間及解熱時間,并可長時間維持正常體溫,增強(qiáng)退熱效果;3.藥浴風(fēng)蛋療法可緩解外感發(fā)熱證患兒咳嗽、鼻塞、流涕、咽紅腫等癥狀體征;4.藥浴風(fēng)蛋療法操作較簡單、副作用小,是民間醫(yī)學(xué)與現(xiàn)代醫(yī)學(xué)結(jié)合的綠色療法,安全可靠,值得臨床應(yīng)用及推廣。
[Abstract]:Objective: to observe the changes of body temperature and symptoms and signs of traditional Chinese medicine (TCM) in children with exogenous fever syndrome before and after the treatment, and to explore the effect of eolian egg therapy in the treatment of children with extraneous febrile syndrome. To evaluate its curative effect, to provide a safe and standard for the treatment of children's external fever syndrome, Effective new comprehensive method. Methods: 120 children who met the inclusion criteria were all from the paediatric outpatient department of the first affiliated Hospital of Guangxi University of traditional Chinese Medicine. According to the principle of random number table, they were divided into two groups: treatment group (n = 60) and control group (n = 60). The two groups were treated twice a day for 3 days. If the axillary temperature T 鈮，

本文編號：1622148