釜底抽薪散外敷涌泉穴佐治儿童急性上呼吸道感染发热疗效观察

Efficacy of External Application of Fudi Chouxin Powder at Yongquan Acupoint in the Treatment of Acute Upper Respiratory Tract Infection Fever in Children

目的:观察釜底抽薪散外敷涌泉穴佐治儿童急性上呼吸道感染发热的临床疗效。方法:将120例急性上呼吸道感染患儿按随机数表法分为观察组和对照组各60例。对照组给予抗感染、止咳化痰、补液等常规治疗,观察组在常规治疗基础上加用釜底抽薪散外敷涌泉穴。观察并记录患儿一般资料、临床疗效、退热效果及不良反应发生情况等。结果:观察组不良反应轻微,总有效率与对照组比较差异无统计学意义(P>0.05);痊愈率为58.3%,高于对照组的38.3%(P<0.05);治疗后退热起效时间、体温首次降至正常时间、完全退热时间、口服退热药次数、中性粒细胞百分比、血清淀粉样蛋白A均短于或低于对照组(P<0.05)。结论:釜底抽薪散外敷涌泉穴联合常规西医方案治疗儿童急性上呼吸道感染,对发热的疗效确切,可增强退热效果、缩短退热时间、减少退热药使用频次,促进患儿康复。

Objective:To observe the clinical efficacy of external application of Fudi Chouxin powder at Yongquan acupoint in the treatment of acute upper respiratory tract infection fever in children.Methods:Totally 120 children with acute upper respiratory tract infection were randomly divided into the observation group and control group,with 60 cases in each group.The control group was given conventional treatment such as anti-infection,cough and phlegm relief and fluid replenishing,while the observation group received external application of Fudi Chouxin powder at Yongquan acupoint based on the conventional treatment.General data,clinical efficacy,antipyretic effect and adverse drug reactions were observed and recorded.Results:Adverse drug reactions in the observation group were mild,and the difference of total effective rate between observation group and control group was not statistically significant(P>0.05).The recovery rate of observation group was 58.3%,higher than 38.3%of control group(P<0.05).After treatment,the onset time of fever relief,the time when body temperature first fell to normal,complete regression time of fever,frequency of oral antipyretic drugs,percentage of neutrophil and serum amyloid A of observation group were shorter or lower than those of control group(P<0.05).Conclusion:External application of Fudi Chouxin powder at Yongquan acupoint combined with conventional Western medicine is effective in the treatment of acute upper respiratory tract infection,which can significantly enhance the effects of antipyretic,shorten the duration of fever,reduce the frequency of antipyretic drugs,and promote the recovery of children.