【摘要】 目的观察中药熏洗辅助治疗43例小儿外感发热退热的临床疗效。方法选择2017年5月至2018年5月南京市江宁区中医院儿科收治急性上呼吸道感染患儿85例,随机分成观察组43例和对照组42例。两组患儿在抗炎抗病毒的基础上,当患儿体温在37.5～39.0℃,观察组给予中药熏洗方足部熏洗,对照组给予同等条件下清水足部熏洗,记录治疗前5min及治疗后0.5、1、2h的体温及退热起效时间、退热药使用情况。结果两组患儿在熏洗足部治疗后0.5h体温比较差异无统计学意义(P>0.05)。熏洗后1h和2h,观察组患儿体温显著低于对照组,差异有统计学意义(P<0.05)。观察组退热起效时间为(1.08±1.62)h,显著低于对照组(1.65±1.86)h,差异有统计学意义(P<0.05)。两组退热药使用率比较差异无统计学意义(P>0.05)。结论中药熏洗法辅助治疗小儿外感发热疗效显著,且操作简单,提高了患儿的依从性,减少药物的毒副作用,缓解患儿家属的焦虑,是值得研究和推广的一种治疗方法。更多还原

【Abstract】 Objective To observe the antipyretic effect of the medicated foot bath therapy on 43 cases of infantile fever caused by exogenous pathogens.Methods We included 85 eligible patients from the outpatient department of pediatrics in our hospital from May 2017 to May 2018.The patients were randomly divided into treatment group and control group.When the temperature was between 37.5-39.0℃,the children in treatment group were given the medicated foot therapy,while those in control group were given warm water foot therapy.Record the temperature of the two groups 5minutes before the treatment,and 0.5h,1h,2hafter the treatment,as well as the onset time of antipyretic effect and the use of the drugs.Results After treatment,the temperature at 0.5hhad no significant difference between two groups(P>0.05).The temperature in 1hand 2hin the treatment group was significantly lower than that in the control group(P<0.05).The onset time of antipyretic drugs in treatment group was(1.08±1.62)h,significantly shorter than that in the control group[(1.65±1.86)h](P<0.05).No significant difference was found between two groups in the frequency of using antipyretic drugs(P>0.05).Conclusion The medicated foot bath therapy has a definite curative effect on infantile fever caused by exogenous pathogens.The therapy can be performed simply.It can improve the patients’ compliance,reduce the side-effect of the medicine and relieve the anxiety of the family.Thus,it is worthy of clinical application and popularization.更多还原