高热患儿采用青蒿温水擦浴降温效果观察

Efficacy of Tepid Sponge Bathing with Artemisinin to Reduce Fever in Children

目的探讨快速有效的物理降温方法。方法将231例体温≥39℃的呼吸道感染患儿随机分为三组。温水组（74例）采用32-35℃温水全身擦浴；冰敷组（72例）采用头部及全身大血管置冰袋降温；青蒿组（85例）采用32～35℃青蒿液全身擦浴，高热40℃以上者擦浴后取青蒿液纱块外加热水袋脐部暖敷30min。比较擦浴后30min降温有效率。结果三组降温有效率比较，差异有显著性意义（P〈0．01）；其中青蒿组降温有效率显著高于冰敷组和温水组（均P〈0．0125）。结论三种物理降温方法均有效果，其中青蒿温水擦浴后体温下降有效率最高，其次为温水擦浴，单纯冰敷降温效果最差。

Objective To explore a fast, effective physical method to control fever. Methods Two hundred and thirty-one children with axillary temperatures greater than or equal to 39 degrees, were randomly divided into three groups. The tepid sponging group （74 cases）, were sponged the whole body with 32-35℃ warm water; the ice compress group （72 cases）, were applied ice hag to head and large vessels of the whole body; the artemisinin group （85 cases）, were adopted artemisinin tepid sponging with the temperatures from 32 to 35 degrees, and for children with temperatures over 40 degrees, gauzes moistened by artemisinin, associated with hot hag, were covered on umbilical region for 30 minutes after sponging. The efficacy was evaluated after 30 minutes. Results The effective rate showed significant difference among the three groups （P〈0. 01）, and the artemisinin group was significantly higher than that of the tepid sponging group, the ice compress group as well （P〈0. 0125 for both）. Conclusion All the methods for lowering temperature are effective, with a descending order as the artemisinin tepid sponging, the simple tepid sponging and application of ice compress.