蜜芽罐特色疗法联合常规对症治疗对小儿外感发热的临床疗效

Clinical effect of Miya cupping combined with conventional symptomatic treatment on children with exogenous fever

目的探讨蜜芽罐特色疗法联合常规对症治疗对小儿外感发热的临床疗效。方法本研究为随机对照试验,选取2021年9月至2022年6月广州中医药大学第二附属医院发热门诊收治的208例外感发热患儿作为研究对象,其中男性120例,女性88例,年龄1.5~8.0岁。采用简单随机方法分为试验组和对照组,每组104例。对照组采用常规对症治疗,试验组在常规对症治疗的基础上联合蜜芽罐特色疗法。比较两组降温效果和中医证候积分情况。采用χ^(2)检验、独立样本t检验、配对t检验、重复测量方差分析、秩和检验。结果试验组和对照组各退出1例,最终两组各纳入103例进行分析。治疗前两组患儿的体温均高于正常,体温和中医证候积分组间比较差异均无统计学意义(均P>0.05)。治疗后30 min、1 h、2 h、4 h、6 h,试验组的体温分别为(37.91±0.68)℃、(37.64±0.58)℃、(37.30±0.44)℃、(36.97±0.32)℃、(36.89±0.30)℃,对照组分别为(38.38±0.54)℃、(38.15±0.45)℃、(37.72±0.38)℃、(37.39±0.28)℃、(37.20±0.23)℃,重复测量方差分析显示两组体温差异有统计学意义(F=289.244,P<0.001);治疗后6 h,试验组降温有效率为99.0%(102/103),对照组降温有效率为92.2%(95/103),两组比较差异均有统计学意义(χ^(2)=5.693,P=0.017)。试验组的发热、恶寒、咽红、鼻塞、流涕、咳嗽、头痛和口渴证候积分均低于对照组(均P<0.05)。结论常规对症处理联合蜜芽罐特色疗法治疗可有效改善外感发热患儿的发热、恶寒、咽红、鼻塞、流涕、咳嗽、头痛和口渴等症状,具有较好的安全性。

Objective To investigate the clinical effect of Miya cupping combined with conventional symptomatic treatment in children with exogenous fever.Methods This study was a randomized controlled trial.A total of 208 children with exogenous fever admitted to the fever clinic of the Second Affiliated Hospital of Guangzhou University of Chinese Medicine from September 2021 to June 2022 were selected,including 120 boys and 88 girls,aged 1.5-8.0 years.The children were divided into an experimental group and a control group using a simple random method,with 104 cases in each group.The control group adopted conventional symptomatic treatment,and the experimental group was given Miya cupping on the basis of conventional symptomatic treatment.The cooling efficacy and traditional Chinese Medicine(TCM)syndrome score of the two groups were compared. χ^(2) test, independent sample t test, paired t test, repeated measure ANOVA, and rank sum test were used. Results One case was withdrawn from each of the experimental group and the control group, and 103 cases were finally included in each group for analysis. Before treatment, the body temperatures of the two groups were higher than normal, and there were no statistically significant differences in the body temperature and TCM syndrome score between the two groups (all P>0.05). At 30 min, 1 h, 2 h, 4 h, and 6 h after treatment, the body temperatures of the experimental groups were (37.91±0.68) ℃ , (37.64±0.58) ℃ , (37.30±0.44) ℃ , (36.97±0.32) ℃ , and (36.89±0.30) ℃ , respectively, those of the control group were (38.38±0.54) ℃ , (38.15±0.45) ℃ , (37.72±0.38) ℃ , (37.39±0.28) ℃ , and (37.20±0.23) ℃ , respectively, and repeated measurement ANOVA showed that there was a statistically significant difference in the body temperature between the two groups (F=289.244, P<0.001). At 6 h after treatment, the effective rate of cooling was 99.0% (102/103) in the experimental group and 92.2% (95/103) in the control group, with a statistically significant difference between the two groups (χ^(2)=5.693, P=0.017). The scores of fever, chills, red pharynx, nasal congestion, runny nose, cough, headache, and thirst in the experimental group were lower than those in the control group (all P<0.05). Conclusion Conventional symptomatic treatment combined with Miya cupping in the treatment of children with exogenous fever can effectively improve the clinical symptoms of fever, chills, red pharynx, nasal congestion, runny nose, cough, headache, and thirst, which has good efficacy and safety.