壮医药线背穴点灸对小儿外感发热的退热疗效研究

Antifebrile Effect on Infantile Exogenous Fever Treated with Moxibustion at the Back Points with Zhuang Medicinal Thread

目的研究壮医药线点灸治疗小儿外感发热的退热效果及临床疗效,为挖掘整理壮医药特色技法在儿科临床的规范化应用提供临床试验依据。方法将200例外感发热患儿随机分为药线干预组和对照组各100例。体温38.5℃以下者,对照组给予降温贴、温水擦浴等物理降温;药线干预组给予壮医药线背八穴点灸,8壮/次。体温≥38.5℃者两组均口服布洛芬混悬液或对乙酰氨基酚液,或者二种药物交替使用,药线干预组加用壮医药线背八穴点灸。结果药线干预组的完全退热时间均优于对照组,两组比较差异有统计学意义(P<0.05)。治疗后24 h、48 h的体温比较差异有统计学意义(P<0.05),72 h时段两组比较差异无统计学意义(P>0.05)。两组治疗72h后症状积分比较差异有统计学意义(P<0.05),即药线干预组患儿干预72 h后临床疗效优于对照组。结论壮医药线点灸对小儿外感发热的退热效果显著,具有简、便、易、廉的特色。

Objective To study the antifebrile effect and clinical efficacy on infantile exogenous fe-ver treated with moxibustion at the bacK points with Zhuang medicinal thread so as to provide the clinical trial evidences on the characteristic features of Zhuang medicine for their standardization in pediatric clinical ap-plication. Methods Two hundred cases of infantile exogenous fever were randomized into an intervention group and a control group,100 cases in each one. For the cases less than 38. 5 ℃ of body temperature,in the control group,the physical hypthermia method such as cooling paste and tepid water sponge bath was used;in the intervention group,moxibustion with Zhuang medicinal thread was applied to eight points on the bacK,8 cones each time. For the cases ≥38. 5 ℃ ,libuprofen suspension or acetaminophen solution was prescribed,or they were used alternatively in the two groups;moxibustion with Zhuang medicinal thread was supplemented at eight points on the bacK in the intervention group. Results The time of complete antifebrile in the inter-vention group was better than that in the control group,indicating the significant difference（P ﹤ 0. 05）. The body temperature in 24 h and 48 h after treatment was different in comparison（P ﹤ 0. 05）and the difference was not significant in 72 h between the two groups（P ﹥ 0. 05）. The symptom score in 72 h of treatment was different significantly between the two groups（P ﹤ 0. 05）,meaning the clinical efficacy in the intervention group 72 h after treatment was better than that in the control group. Conclusion The moxibustion with Zhuang medicinal thread achieves the significant antifebrile effect on infantile exogenous fever,characterized as simple in application and economic in cost.