摘要
目的 分析外感发热患儿病例资料，总结穴位外敷疗法治疗小儿外感发热的临床效果。方法 研究时间阶段：2019年7月至2020年12月，收集病例共68例，以电脑随机法方式分组，即：34例对照组、34例研究组，前者给予常规西药治疗，后者给予穴位外敷疗法，对比两组患儿最终效果。结果 关于治疗有效率，两组患儿数据差异存在统计学意义，即：对照组76.47%，研究组94.12%，相比较来说，研究组高，P＜0.05；药物不良反应发生率相比，研究组低于对照组，（2.94%）VS（20.59%），P＜0.05。结论 在小儿外感发热患儿中，穴位外敷疗法有利于改善患儿临床症状，提高治疗有效率，降低患儿药物不良反应的发生情况，推广意义显著。
关键词： 外感发热患儿；治疗有效率；不良反应；穴位外敷疗法；效果
Abstract
Objective To analyze the case data of children with exogenous fever and summarize the clinical effect of Acupoint External Application in the treatment of children with exogenous fever. Methods: research time stage: from July 2019 to December 2020,a total of 68 cases were collected and grouped by computer random method, that is,34 cases in the control group and 34 cases in the study group. The former was treated with conventional western medicine and the latter was treated with Acupoint External Application. The final effects of the two groups were compared. Results: there was significant difference in the effective rate between the two groups, that is,76.47%in the control group and 94.12%in the study group, which was higher than that in the study group (P<0.05); The incidence of adverse drug reactions in the study group was lower than that in the control group (2.94%) vs (20.59%), P<0.05. Conclusion : in children with exogenous fever, acupoint external application therapy is helpful to improve the clinical symptoms, improve the treatment efficiency, and reduce the incidence of adverse drug reactions in children. It has significant popularization significance.
Key words： Children With Exogenous Fever; Treatment Efficiency; Adverse Reactions; Acupoint External Application Therapy; Effect
参考文献 References
[1] 王丽红.中药药浴对风热型小儿外感发热退热的临床护理观察[J].内蒙古中医药,2019,38(01):120-121.
[2] 秦凤华,王雅丽,周莉莉.基于"外治之理,即内治之理"从中药药浴治疗小儿外感发热的疗效观察[J].中国中医基础医学杂志,2013,19(7):782-784.
[3] 甘美英,黄文影,陈雄英,等.小儿发热运用穴位推拿干预的护理效果[J].中国医学创新, 2020, 17(08): 111-114.
[4] 赵明娟,周慧敏,王国英,等.小儿推拿配合中药穴位贴敷护理在小儿泄泻护理中的应用效果[J].中西医结合护理(中英文),2020,6(12):61-64.
[5] 韩雪晶,陈艳,樊海英.中药药浴联合穴位按摩辅助治疗小儿外感发热的效果观察[J].中国医学装备, 2014, 11(B12): 228-229.
[6] 陈秋风,彭印文,彭爱平.刮痧联合中药擦浴治疗小儿外感发热退热效果[J].牡丹江医学院学报, 2019, 40(02): 109-110.
[7] 陈秋风,彭印文,彭爱平.刮痧联合中药擦浴治疗小儿外感发热退热效果[J].牡丹江医学院学报, 2019, 40(2): 109-110,152.
[8] 朱浩宇,冯晓纯,钱美加,等.中药复方退热凝胶辅助治疗小儿外感发热(风热犯表证)临床观察[J].中国中医药现代远程教育,2019,17(19):85-87.
[9] 张燕."发汗透热"中药外洗方治疗小儿外感发热临床疗效观察[J].湖南中医药大学学报, 2016, 36(A01): 357-358.
[10] 张良梅,张守刚.银翘洗剂对幼儿外感发热风热证的疗效观察[J].内蒙古中医药,2016,35(11):101-102.
[11] 刘素云,王喜聪,尹贵锦,等.退热合剂直肠滴入治疗小儿风热型外感发热临床观察[J].山西中医, 2019, 35(11): 49-50.
[12] 肖韵,周可,熊梦颖,等.藿钩退热散直肠滴注治疗小儿外感发热60例临床观察[J].中国中医急症, 2017, 26(07): 1238-1240.
[13] 范建红,孙峰军,范小康.调节中药煎剂酸碱度直肠滴入治疗小儿外感发热的临床观察[J].中国民间疗法, 2019, 27(19): 67-69.
[14] 李冬华.银柴解热合剂直肠滴入治疗小儿外感发热的疗效观察及护理[J].光明中医, 2018, 33(22): 3423-3425.
[15] 王永.退热合剂直肠给药治疗小儿外感发热的临床研究[J].临床医药文献电子杂志,2019,6(8):164-164.
[16] 李雯,王宇宁.推拿配合点刺放血治疗小儿外感发热临床观察[J].光明中医,2019,34(16):2511-2513.
[17] 丁海霞,王元昭.推拿配合点刺放血治疗小儿外感发热66例[J].中医儿科杂志,2014,10(3):60-61.
[18] 曹树琦,沈宇平,蔡卫根.刺血疗法结合中药治疗小儿外感发热60例临床观察[J].浙江中医杂志, 2014, 49(10): 716-717.
[19] 许庆龄.联用小儿豉翘清热颗粒和耳尖放血疗法治疗小儿外感发热的效果观察[J].当代医药论丛, 2018, 16(23): 101-102.
[20] 莫智珍,岳进,陈明明,等.朱琏兴奋针法联合耳尖放血辅助治疗小儿风热型外感发热40例临床观察[J].江苏中医药,2018,50(2):57-59.