柴葛解肌汤联合耳尖放血治疗小儿外感发热风热证的临床效果观察

Observation on the clinical effect of Chaige Jieji Decoction combined with bloodletting at ear apex in the treatment of exogenous fever(wind-heat syndrome)in children

目的 观察柴葛解肌汤联合耳尖放血治疗小儿外感发热风热证的临床效果。方法 60例外感发热风热证患儿作为研究对象,按数字随机表法分为常规组和实验组,各30例。常规组采用柴葛解肌汤治疗,实验组采取柴葛解肌汤联合耳尖放血治疗。比较两组患儿治疗效果,退热时间及治疗前后中医证候积分,不良反应发生情况。结果 实验组患儿治疗总有效率93.33%高于常规组的73.33%,差异具有统计学意义(P<0.05)。实验组患儿退热时间(2.27±0.67)d短于常规组的(3.89±0.83)d,差异具有统计学意义(P<0.05)。治疗前,两组患儿恶寒、咽部红肿、头身疼痛积分比较差异无统计学意义(P>0.05);治疗后,实验组患儿恶寒、咽部红肿、头身疼痛积分分别为(1.34±0.71)、(1.18±0.59)、(1.12±0.49)分,均低于常规组的(2.49±0.72)、(2.94±0.87)、(2.74±0.84)分,差异具有统计学意义(P<0.05)。两组患儿不良反应发生率比较,差异无统计学意义(P>0.05)。结论 小儿外感发热风热证患儿采取柴葛解肌汤联合耳尖放血治疗能够迅速、平稳退热,疗效确切,且不容易反弹,临床值得推广和应用。

Objective To observe the clinical effect of Chaige Jieji Decoction combined with bloodletting at ear apex in the treatment of exogenous fever(wind-heat syndrome)in children.Methods A total of 60 children with exogenous fever(wind-heat syndrome)were divided into a conventional group and an experimental group according to the random numerical table,with 30 cases in each group.The conventional group was treated with Chaige Jieji Decoction,and the experimental group was treated with Chaige Jieji Decoction and bloodletting at ear apex.The therapeutic effect,antipyretic time,traditional Chinese medicine syndrome score before and after treatment,and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of treatment in the experimental group was 93.33%,which was higher than that of 73.33%in the conventional group,and the difference was statistically significant(P<0.05).The antipyretic time of(2.27±0.67)d in the experimental group was shorter than that of(3.89±0.83)d in the conventional group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in scores of chills,pharyngeal redness and head and body pain between the two groups(P>0.05).After treatment,the scores of chills,pharynx redness and head and body pain in the experimental group were(1.34±0.71),(1.18±0.59)and(1.12±0.49)points,which were lower than those of(2.49±0.72),(2.94±0.87)and(2.74±0.84)points in the conventional group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Chaige Jieji Decoction combined with bloodletting at ear apex in children with exogenous fever(wind-heat syndrome)can reduce febrile rapidly and stably,and the effect is accurate.It is not easy to rebound,and is worthy of clinical promotion and application.