中药足浴治疗小儿外感发热的临床效果观察

Clinical Observation on Pediatric Foot Bath in Treating Exogenous Fever in Children

目的研究中药足浴治疗外感发热的临床效果。方法选取我院2013年2月—2015年2月的发热患儿90例,对患儿采取随机抽签方式进行分组,每组45例,患儿临床诊断西医均符合小儿急性上呼吸道感染诊断,中医符合小儿外感发热的诊断,所有患儿均给予抗病毒、抗炎治疗,在常规治疗的基础上对照组患儿加贴退热贴治疗,观察组患儿应用中药足浴治疗,根据《中药新药治疗指标原则》进行疗效评价,比较两组患儿治疗前后体温情况。结果两组患儿总有效率比较,观察组高于对照组,差异有统计学意义(P<0.05);两组患儿在治疗前体温比较差异无统计学意义(P>0.05),在治疗24小时后,观察组患儿体温下降幅度大于对照组患儿,在治疗36小时后,观察组患儿体温已经恢复正常,对照组患儿体温有所升高,两组患儿体温数值比较差异有统计学意义(P<0.05)。结论小儿外感发热可应用中药足浴治疗,在短时间内可取得较好的退热效果,并可减少退热药的使用次数,并且无药物副作用,有利于患儿恢复。

Objective To study the clinical effect of traditional Chinese medicine foot bath on exogenous fever.Methods90children with fever in our hospital from February2013to February2015were selected.The children were randomly divided into groups,45patients in each group.The clinical diagnosis and Western medicine of the children were consistent with the diagnosis of acute upper respiratory tract infection in children,and the TCM met the diagnosis of exogenous fever in children.All children were given antiviral and anti-inflammatory treatment.On the basis of routine treatment,children in the control group were treated with antipyretic plaster,children in observation group were treated with traditional Chinese medicine foot bath.The curative effect was evaluated according to the therapeutic principle of new drugs for traditional Chinese medicine.The body temperature before and after treatment in two groups was compared.Results The total effective rate of the two groups was higher than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in body temperature between the two groups before treatment(P>0.05).After24hours treatment,the temperature drop in the observation group was greater than that in the control group.After36hours treatment,the temperature of the children in the observation group has returned to normal,and the temperature of the children in the control group has increased.The difference of the body temperature between the two groups is statistically significant(P<0.05).Conclusion Children with exogenous fever can be treated with traditional Chinese medicine foot bath,in a short period of time can achieve better antipyretic effect,and can reduce the number of use of antipyretic,and no side effects of drugs,is conducive to recovery of children.