中医“杂合以治”法治疗小儿外感高热的临床研究

Clinical Study on the Treatment of Infantile Exogenous High Fever with"Hybridization and Treatment"Method of Traditional Chinese Medicine

目的探究中医"杂合以治"法治疗小儿外感高热的临床效果。方法简单随机选择该院于2017年6月-2018年6月收治的外感高热患儿80例,采用随机数表法分为观察组(40例)和对照组(40例)。对照组患儿给予布洛芬混悬液,合并细菌感染者加服抗生素治疗,观察组在口服布洛芬混悬液基础上采取"杂合以治"中医治疗法治疗。比较两组临床疗效、退热起效和完全退热时间及临床不良反应情况。结果对照组临床有效率(80.00%)低于观察组(97.50%),差异有统计学意义(χ^2=4.507,P=0.034);对照组退热起效和完全退热时间均高于观察组,差异有统计学意义(t=2.207、3.002,P<0.05);对照组的不良反应发生率(20.00%)高于观察组(5.00%),差异有统计学意义(χ^2=4.114,P=0.043)。结论中医"杂合以治"法治疗可缩短小儿外感高热患者退热起效和完全退热时间,减少不良反应发生,提高临床有效率。

Objective To explore the clinical effect of the"hybrid treatment"method of traditional Chinese medicine in the treatment of children with exogenous fever.Methods A total of 80 children with exogenous fever admitted to the hospital from June 2017 to June 2018 were srmple randomly selected and divided into observation group(40 cases)and control group(40 cases)by random number table.Children in the control group were given ibuprofen suspension,and those with bacterial infections were treated with antibiotics.The observation group was treated with"hybrid to cure"traditional Chinese medicine on the basis of oral ibuprofen suspension.The clinical efficacy,onset and complete antipyretic time and clinical adverse reactions between the two groups were compared.Results The clinical effective rate of the control group(80.00%)was lower than that of the observation group(97.50%),and the difference was statistically significant(χ^2=4.507,P=0.034);the control group had higher antipyretic onset and complete antipyretic time than the observation group,and the difference was statistically significant(t=2.207,3.002,P<0.05);the incidence of adverse reactions in the control group(20.00%)was higher than that in the observation group(5.00%),and the difference was statistically significant(χ^2=4.114,P=0.043).Conclusion TCM"hybrid treatment"therapy can shorten the onset of antipyretic and complete antipyretic time in children with exopathic high fever,reduce adverse reactions,and improve clinical effectiveness.