1. 浙江省温州市中心医院针灸推拿科,浙江,温州,325000
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LOU Ran, HUANG Ke-qin, WANG Ting, et al. Short-term efficacy observation of special acupoints massage for exogenous fever in children. [J]. Shanghai Journal of Traditional Chinese Medicine 50(12):60-63(2016)
目的:观察特定穴推拿治疗小儿外感发热的临床疗效。 方法:将150例外感发热患儿随机分为布洛芬组、推拿组、推拿加布洛芬组,每组50例。布洛芬组予布洛芬混悬液,推拿组予特定穴推拿,推拿加布洛芬组同时予以前述两组的治疗措施。各组疗程均为4 h,观察治疗前5 min及治疗后5 min、4 h的体温情况,比较临床症状体征积分的变化情况。 结果:①试验期间,共脱落7例,最终完成试验者143例,布洛芬组46例、推拿组52例、推拿加布洛芬组45例。②各组治疗前5 min与治疗后5 min比较,体温均差异有统计学意义,下降显著(P<0.05);组间治疗后5 min比较,布洛芬组与推拿组体温差异无统计学意义(P>0.05),而推拿加布洛芬组体温明显高于布洛芬组与推拿组(P<0.05)。治疗前5 min与治疗后4 h组内比较,布洛芬组体温出现明显反弹(P>0.05),推拿组、推拿加布洛芬组体温未见反弹,可见明显的进一步下降趋势(P<0.05);组间治疗后4 h比较,推拿组、推拿加布洛芬组体温明显低于布洛芬组(P<0.05),而与推拿加布洛芬组比较,推拿组体温下降更显著(P<0.05)。③组间治疗后4 h比较,推拿组症状与体征积分明显低于布洛芬组、推拿加布洛芬组(P<0.05),而布洛芬组与推拿加布洛芬组比较,差异无统计学意义(P>0.05)。 结论:特定穴推拿治疗小儿外感发热的短期疗效满意且不易反弹;而加用布洛芬后,未见明显的协同增效作用,反会影响疗效。
Objective:To observe the clinical efficacy of special acupoints massage in treating exogenous fever of children. Methods150 children with exogenous fever were randomly divided into the ibuprofen group,massage group and combination group,50 cases in each group. The ibuprofen group was treated with ibuprofen suspension,the massage group was treated with special acupoints massage,the combination group was treated with ibuprofen suspension and special acupoints massage at the same time,with a course of 4 hours. 5 minutes before treatment,5 minutes and 4 hours after treatment,the temperature change was observed and the scores of clinical symptom and sign were compared. Results:①During the trial,143 cases completed the test at last and 7 cases fell off,among which 46 cases in the ibuprofen group,52 cases in the massage group and 45 cases in the combination group. ②Comparison of the temperature 5 minutes before and after treatment,the difference in each group was significantly decreased with statistically significant difference(P<0.05). Comparison of the temperature 5 minutes after treatment,the temperature difference between the ibuprofen group and massage group was not statistically significant(P>0.05),but the temperature in the combination group was obviously higher than that in the ibuprofen group and massage group(P<0.05). Comparison of the temperature 5 minutes before and 4 hours after treatment,the temperature in the ibuprofen group appeared obvious rebound(P>0.05),but the temperature in the massage group and combination group showed further downward trend obviously without rebound(P<0.05). Comparison of the temperature 4 hours after treatment,the temperature in the massage group and combination group was obviously lower than that in the ibuprofen group(P<0.05),compared with the combination group,the temperature in the massage group was decreased more significantly(P<0.05). ③Comparison of the scores of clinical symptom and sign 4 hours after treatment,the scores in the massage group were obviously lower than those in the ibuprofen group and combination group(P<0.05),but there were no statistically significant differences on the scores between the ibuprofen group and combination group(P>0.05). Conclusion: Special acupoints massage show good short-term effects in the treatment of exogenous fever in children,which is not easy to rebound. Special acupoints massage combined with ibuprofen will affect the efficacy,rather than obviously synergistic effects.
小儿发热外感特定穴推拿非甾体类抗炎药自然疗法
fever in childrenexogenous pathogensspecial acupoints massagenon-steroidal anti-inflammatory drugnatural therapy
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