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目的:对比中药保留灌肠和复方氨酚那敏颗粒治疗小儿上呼吸道感染发热的疗效差异。方法:选取120例上呼吸道感染发热患儿,随机分为研究组和对照组各60例。对照组患儿使用复方氨酚那敏颗粒治疗,研究组患儿使用中药保留灌肠治疗。比较两组患儿治疗总有效率及给药4h内退热情况的差异。结果:经过治疗,研究组患儿总有效率为96.7%,高于对照组的81.7%;给药2、3、4h内,研究组患儿体温分别为(38.3±0.5)℃、(37.8±0.4)℃、(37.7±0.4)℃,均低于对照组同期,差异均有统计学意义(P<0.05)。结论:中药保留灌肠治疗小儿上呼吸道感染发热见效快、疗效好,经肠黏膜直接吸收,不良反应少,体温下降后无回升,优于复方氨酚那敏颗粒治疗,值得临床推广应用。
Objective: To compare the efficacy of traditional Chinese medicine retention enema and compound paracetamol naimimu granules in the treatment of fever in children with upper respiratory tract infection. Methods: A total of 120 children with fever caused by upper respiratory tract infection were selected and randomly divided into study group (60 cases) and control group (60 cases). The control group children with compound paracetamol natrium particles treatment, study group children with Chinese medicine retention enema treatment. The total effective rate of the two groups were compared and the differences of the antipyretic effect within 4h were compared. Results: After treatment, the total effective rate in study group was 96.7%, which was higher than that in control group (81.7%). The body temperature in study group was (38.3 ± 0.5) ℃, (37.8 ± 0.4) ℃ and (37.7 ± 0.4) ℃, respectively, which were lower than those in the control group at the same period (P <0.05). Conclusion: The traditional Chinese medicine retention enema treatment of pediatric upper respiratory tract infection fever quick, good effect, direct absorption through the intestinal mucosa, adverse reactions less, no decline in body temperature after recovery, better than compound paracetamol particles treatment, worthy of clinical application.