| 摘要: |
| 目的：研究中药足浴治疗风热型小儿外感发热的临床疗效。方法：将120 例风热型外感发热患儿随机分为治疗组和对照组，每组各60 例。2组均给予西医常规治疗，对照组采用小儿柴桂退热颗粒治疗，治疗组在对照组基础上加用中药足浴治疗。治疗3 d后观察2组的综合疗效、中医证候总积分、各时间段体温、解热时间、退热起效时间、退热药使用次数、退热率。结果：总有效率治疗组为90.00%（54/60），对照组为73.33%（44/60），差异有统计学意义(P<0.05)。治疗后，2组中医证候总积分均下降，差异有统计学意义（P<0.05），但组间比较，差异无统计学意义（P>0.05）。2组治疗后1、1.5、2、24、36、48、72 h体温比较，差异均有统计学意义(P<0.05或P<0.01)。治疗组解热时间较对照组短，退热药使用次数较对照组少，差异均有统计学意义(P<0.01)；治疗组退热起效时间较对照组短，但差异无统计学意义（P>0.05）。治疗组退热55 例（91.67%），对照组退热46 例（76.67%），组间比较，差异有统计学意义（P<0.05）。结论：中药足浴能降低风热型外感发热患儿体温，改善临床症状，减少退热药使用次数，退热效果显著。 |
| 关键词: 外感发热 小儿 风热型 中西医结合疗法 中药足浴 |
| DOI： |
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| Clinical effect of traditional Chinese medicine foot bath in treatment of pediatric exogenous fever of wind-heat type：An analysis of 60 cases |
| DU Chunchun |
| (Linyi Maternal and Child Health Hospital，Linyi 276014，Shandong，China) |
| Abstract: |
| Objective：To investigate the clinical effect of traditional Chinese medicine (TCM）foot bath in the treatment of pediatric exogenous fever of wind-heat type.Methods：A total of 120 children with pediatric exogenous fever of wind-heat type were randomly divided into treatment group and control group，with 60 children in each group.The children in the control group were given conventional Western medicine treatment and Xiaoer Chaigui Tuire granules，and those in the treatment group were given TCM foot bath in addition to the treatment in the control group.After 3 days of treatment，the two groups were observed in terms of overall response，TCM syndrome score，body temperature at different time points，antipyretic time，onset time of heat clearance，number of times of antipyretic drugs used，and heat clearance rate.Results：There was a significant difference in overall response rate between the treatment group and the control group ［90.00% (54/60）vs 73.33% (44/60)，P<0.05］.After treatment，both groups had a significant reduction in TCM syndrome score (P<0.05)，while there was no significant difference between the two groups (P>0.05).There was a significant difference in body temperature between the two groups at 1，1.5，2，24，36，48，and 72 hours after treatment (P<0.05 or P<0.01).Compared with the control group，the treatment group had a significantly shorter antipyretic time and a significantly number of times of antipyretic drugs used (P<0.01)，as well as a shorter onset time of heat clearance (P>0.05).There was a significant difference in the number of patients achieving heat clearance between the treatment group and the control group ［55 (91.67%）vs 46 (76.67%)，P<0.05］.Conclusion：For children with pediatric exogenous fever of wind-heat type，TCM foot bath has a marked antipyretic effect and can reduce body temperature，improve clinical symptoms，and reduce the number of times of antipyretic drugs used. |
| Key words: exogenous fever pediatric wind-heat type integrated traditional Chinese and Western medicine therapy traditional Chinese medicine foot bath |
