三字经推拿治疗小儿上呼吸道感染合并热性惊厥的疗效观察

Therapeutic effect of Three-Character massage on children with upper respiratory tract infection complicated with febrile convulsions

目的探讨三字经推拿治疗小儿上呼吸道感染合并热性惊厥的临床疗效。方法选取2016年3月至2018年12月襄阳市中医医院收治的上呼吸道感染合并热性惊厥患儿102例为研究对象,随机分为观察组和对照组各51例。两组均按西医处理原则给予对症退热、镇静止惊,适时吸氧补液支持治疗及根据情况适当抗感染处理,观察组在此基础上给予三字经推拿治疗,5 d为1个疗程。观察两组患儿抽搐再发作人数、抽搐再发作持续时间、完全热退时间、上呼吸道感染卡他症状(流涕、鼻塞、咳嗽)改善情况及临床疗效。结果治疗后观察组患儿抽搐再发作人数、抽搐再发作持续时间和完全热退时间、上呼吸道感染卡他症状消失时间均显著短于对照组,差异有统计学意义(P<0.05);观察组临床总有效率为98.04%(50/51),显著高于对照组74.51%(38/51),差异有统计学意义(P<0.05)。结论三字经推拿治疗小儿上呼吸道感染合并高热惊厥疗效明显,能迅速退热,减少惊厥再发作次数、缩短惊厥再发持续时间,较快改善上呼吸道感染卡他症状。

Objective To explore the clinical effect of Three-Character massage on children with upper respiratory tract infection complicated with febrile convulsion.Methods Totally 102 children with upper respiratory tract infection complicated with febrile convulsion admitted to Xiangyang Traditional Chinese Medicine Hospital from March 2016 to December 2018 were randomly divided into observation group and control group, with 51 cases each. According to the principle of western medicine treatment, the two groups were given antipyretic and sedative treatment, timely oxygen and liquid supplement support treatment, and appropriate anti-infection treatment according to the situation. On this basis, the observation group was given Three-Character massage treatment, 5 days as a course. The number of children with a second convulsion, duration of the convulsions, time of complete fever regression, improvement of catarrh symptoms of upper respiratory tract infection(runny nose, nasal obstruction, cough) and clinical effect were observed.Results After treatment, the number of children with a second convulsion, the duration of the convulsions, the time of complete fever regression and the time of disappearance of catarrh symptoms of upper respiratory tract infection in the observation group were significantly shorter than those in the control group, and the difference was statistically significant(P<0.05); the total clinical effective rate of the observation group was 98.04%(50/51), significantly higher than 74.51%(38/51) in the control group, the difference being statistically significant(P<0.05).Conclusion Three-Character massage has obvious curative effect on children with upper respiratory tract infection combined with febrile convulsion. It can rapidly relieve fever, reduce the frequency of convulsion recurrence, shorten the duration of recurrent convulsion, and quickly improve catarrh symptoms of upper respiratory tract infection.