中医“杂合以治”法治疗小儿外感高热的临床研究

李璐君

[摘要] 目的 探究中醫“杂合以治”法治疗小儿外感高热的临床效果。方法 简单随机选择该院于2017年6月—2018年6月收治的外感高热患儿80例，采用随机数表法分为观察组（40例）和对照组（40例）。对照组患儿给予布洛芬混悬液，合并细菌感染者加服抗生素治疗，观察组在口服布洛芬混悬液基础上采取“杂合以治”中医治疗法治疗。比较两组临床疗效、退热起效和完全退热时间及临床不良反应情况。结果 对照组临床有效率（80.00%）低于观察组（97.50%），差异有统计学意义（χ2=4.507，P=0.034）;对照组退热起效和完全退热时间均高于观察组，差异有统计学意义（t=2.207、 3.002，P<0.05）;对照组的不良反应发生率（20.00%）高于观察组（5.00%），差异有统计学意义（χ2=4.114，P=0.043）。结论 中医“杂合以治”法治疗可缩短小儿外感高热患者退热起效和完全退热时间，减少不良反应发生，提高临床有效率。

[关键词] 杂合以治;小儿外感高热;不良反应;临床研究

[中图分类号] R4          [文献标识码] A          [文章编号] 1674-0742（2020）11（a）-0175-03

Clinical Study on the Treatment of Infantile Exogenous High Fever with "Hybridization and Treatment" Method of Traditional Chinese Medicine

LI Lu-jun

Department of Pediatrics， Shaxian Hospital of Traditional Chinese Medicine （South District of Shaxian General Hospital）， Sanming， Fujian Province， 365500 China

[Abstract] Objective To explore the clinical effect of the "hybrid treatment" method of traditional Chinese medicine in the treatment of children with exogenous fever. Methods A total of 80 children with exogenous fever admitted to the hospital from June 2017 to June 2018 were srmple randomly selected and divided into observation group （40 cases） and control group （40 cases） by random number table. Children in the control group were given ibuprofen suspension， and those with bacterial infections were treated with antibiotics. The observation group was treated with "hybrid to cure" traditional Chinese medicine on the basis of oral ibuprofen suspension. The clinical efficacy， onset and complete antipyretic time and clinical adverse reactions between the two groups were compared. Results The clinical effective rate of the control group （80.00%） was lower than that of the observation group （97.50%）， and the difference was statistically significant （χ2=4.507， P=0.034）; the control group had higher antipyretic onset and complete antipyretic time than the observation group，and the difference was statistically significant （t=2.207， 3.002， P<0.05）; the incidence of adverse reactions in the control group （20.00%） was higher than that in the observation group （5.00%）， and the difference was statistically significant（χ2=4.114， P=0.043）. Conclusion TCM "hybrid treatment" therapy can shorten the onset of antipyretic and complete antipyretic time in children with exopathic high fever， reduce adverse reactions， and improve clinical effectiveness.

[Key words] Heterozygosity to cure; Children with exogenous fever; Adverse reactions; Clinical research

小儿外感发热是小儿时期的常见病和多发病，西医诊断为上呼吸道感染，处于儿科感染性疾病中首位[1]。该病一年四季均有发病，大多为散发性，临床表现为发热、鼻塞、流涕、咽部不适[2]，可伴有咳嗽、喉痰，腹胀、恶心、便秘或腹泻等，因病原体诊断学还未广泛普及，西医主张以多休息、多喝水为主，并为患者服用抗生素，但由于患儿的体质不一，临床疗效也有差异，使用抗生素的频率过高，还会产生一系列不良反应，给临床治疗的难度加大。中医认为小儿感冒多为患儿肺卫气虚，外邪乘虚而入，发为感冒，且患儿多脾气亏虚，加之饮食不能自节，常伴有饮食积滞，而使患儿外感内积，寒热错杂，因临床患儿常拒绝口服中药，基于此，该研究对该院2017年6月—2018年6月80例外感高热患儿展开研究，旨在探讨中医“杂合以治”法治疗小儿外感高热的疗效。……