不同频率清天河水手法治疗小儿外感发热临床观察

Clinical observation on effects of different frequency of Qingtianheshui manipulation therapy for children with exogenous fever

目的 观察不同频率清天河水手法治疗小儿外感发热的临床疗效,探讨手法频率与退热效应之间的关系。方法 选取2019年1月至2021年1月在嘉兴市中医医院推拿科门诊就诊的外感发热患儿60例,按照随机数字表法分为低频组(每分钟100次)、中频组(每分钟200次)和高频组(每分钟300次),各20例。3组分别予不同频率清天河水手法治疗,每组均每次5 min,每次间隔1 min。完成6次操作后结束治疗并测量体温,统计临床疗效。结果 治疗前3组体温比较,差异无统计学意义(P>0.05),具有可比性。治疗后低频组体温与同组治疗前比较,差异无统计学意义(P>0.05);中频组和高频组治疗后体温以及3组治疗后1 h的体温均较同组治疗前明显降低,差异有统计学意义(P<0.05或P<0.01),且中频组和高频组治疗后1 h的体温降低更显著(P<0.01);治疗后及治疗后1 h中频组和高频组组间比较,差异无统计学意义(P>0.05)。高频组不良事件评分明显高于低频组和中频组,差异有统计学意义(P<0.01);低频组与中频组比较,差异无统计学意义(P>0.05)。高频组操作者自主感觉劳累评分明显高于低频组和中频组,差异有统计学意义(P<0.01);低频组与中频组比较,差异无统计学意义(P>0.05)。结论 清天河水手法治疗小儿外感发热,每分钟200次的频率可明显降低患儿体温,且对患儿皮肤的损伤较弱,同时节省了操作者的体能,更好地保证了手法操作的稳定性,为科研及临床提供了参考依据。

Objective To observe the clinical efficacy of different frequencies of Qingtianheshui manipulation therapy for children with exogenous fever,and to explore the relationship between frequency of manipulation and antipyretic effect.Methods From January 2019 to January 2021,60 children with exogenous fever consulted in outpatient service of tuina department in Jiaxing Municipal Hospital of TCM were divided into low-frequency group(100 times/min),medium-frequency group(200 times/min) and high-frequency group(300 times/min) according to random number table method,with 20 cases in each group.The 3 groups received Qingtianheshui manipulation therapy at different frequencies,5 min for each group,with an interval of 1 min each time.The treatment was finished after 6 times of manipulations,then the body temperature was measured and the clinical efficacy was assessed.Results There was no statistically significant difference in body temperature among the 3 groups before treatment(P>0.05),indicating comparability.There was no statistically significant difference in body temperature between the low-frequency group as compared with the same group after treatment(P>0.05).The body temperature of the medium-frequency group and the high-frequency group after treatment and the body temperature of the 3 groups 1 hour after treatment were significantly lower as compared with the same group before treatment(P<0.05 or P<0.01),and the body temperature of the medium-frequency group and the high-frequency group 1 hour after treatment was significantly lower(P<0.01).There was no statistically significant difference in body temperature between the medium-frequency group and the high-frequency group after treatment and 1 hour after treatment(P>0.05).The score of adverse events in the high-frequency group was statistically significantly higher than that in the low-frequency group and the medium-frequency group(P<0.01),but there was no statistically significant difference between the low-frequency group and the medium-frequency group(P>0.05).The manipulator autonomic feeling fatigue score of the high-frequency group was significantly higher than that of the low-frequency group and the medium-frequency group,and the difference was statistically significant(P<0.01),while there was no statistically significant difference between the low-frequency group and the medium-frequency group(P>0.05).Conclusion Qingtianhe shui manipulation can markedly reduce the body temperature of children with exogenous fever at a frequency of 200 times per minute,and the skin damage of children is weak.Meanwhile,it saves the physical strength of the manipulator and better guarantees the stability of manipulation,and provides a reference basis for scientific research and clinical practice.