双解升降方治疗小儿外感高热的随机对照研究

来源 :中国医疗前沿 | 被引量 : 0次 | 上传用户:wodemeng111
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目的探讨双解升降方辩证加减治疗小儿外感高热的疗效。方法 160例外感高热小儿随机分为观察组和对照组各80例;观察组在西医基础治疗基础上应用自拟双解升降方颗粒剂辩证加减进行退热治疗,对照组则在西医基础治疗基础上应用布洛芬混悬液进行退热治疗。记录并比较两组的综合疗效及治疗开始后0.5h(T0.5)、1h(T1)、2h(T2)、4h(T4)、6h(T6)、12h(T12)、24h(T24)、48h(T48)各时点的体温指标、退热起效时间和完全退热时间。结果观察组的综合疗效指标优于对照组,完全退热时间明显短于对照组,差异均有统计学意义(P<0.01);但退热起效时间慢于对照组,差异有统计学意义(P<0.05)。观察组在T0.5、T1、T2等3个时点的平均体温均高于对照组,但T4、T6、T12、T24、T48等5个时点的平均体温均低于对照组,组间差异均有高度统计学意义(P<0.01)。结论自拟双解升降方辩证加减治疗小儿外感高热的疗效优于常规西医疗法。 Objective To explore the effect of dialectical addition and subtraction of double solution lift on treating hyperthermia in children. Methods 160 cases of extrahepatic hyperthermia in children were randomly divided into the observation group and the control group of 80 cases; the observation group based on the basis of Western medicine with self-made Shuang Xie Sheng Ban Fang granules dialectical addition and subtraction for the treatment of fever, the control group in Western medicine treatment Based on the application of ibuprofen suspension for fever treatment. The comprehensive curative effect of the two groups were recorded and compared, and the effect of treatment was observed after 0.5h (T0.5), 1h (T1), 2h (T2), 4h (T4), 6h (T6), 12h (T12) 48h (T48) body temperature at various time points, the onset of fever and complete antipyretic time. Results The comprehensive curative effect index of the observation group was better than that of the control group, and the complete antipyretic time was significantly shorter than that of the control group (P <0.01), but the onset time of antipyretic effect was slower than that of the control group (P <0.05). The mean body temperature of the observation group at three time points of T0.5, T1 and T2 were all higher than that of the control group, but the average body temperature at T4, T6, T12, T24 and T48 was lower than that of the control group, The difference was highly statistically significant (P <0.01). Conclusions The efficacy of dialectical additions and subtractions in treating double extremity hyperactivity in children with self-made double-lifts is superior to conventional western medicine.
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