退热清解汤联合西药治疗小儿外感发热疗效分析.docx

退热清解汤联合西药治疗小儿外感发热疗效分析[摘要]目的探讨退热清解汤联合西药治疗小儿外感发热的疗效。方法整群选取该院2013年1月―2014年12月期间小儿内科发热患者126例将其随机分成治疗组（n=64）和对照组（n=62）对照组根据血象结果分为细菌感染和非细菌性（如病毒）感染所致分别给予头孢克洛抗感染治疗和利巴韦林抗病毒治疗；治疗组在对照组处理的基础上加用退热清解汤治疗观察两组患儿的治疗效果。结果治疗组患儿总有效率为92.19%对照组患儿总有效率为75.81%其差异有统计学意义（P[关键词]退热清解汤；小儿；外感发热；疗效[中图分类号]R272[文献标识码]A[文章编号]1674-0742（2016）01（a）-0163-03CurativeEffectAnalysisofAntipyreticClearSolutionSoupCombinedwithWesternMedicineintheTreatmentofFeverCausedbyExogenousPathogensinChildrenYANGHuaLIUXuYANGKaiPediatricsJiaozhouCentralHospitalQingdaoShandongProvince266300China[Abstract]ObjectiveTostudythecurativeeffectofantipyreticclearsolutionsoupcombinedwithwesternmedicineinthetreatmentoffevercausedbyexogenouspathogensinchildren.Methods126casesofpatientswithfeverpatientstreatedinthepediatricinternalmedicineofourhospitalfromJanuary2013toDecember2014wereselectedandrandomlydividedintotreatmentgroup（n=64）andcontrolgroup（n=62）thecausesofthecontrolgroupweredividedintobacterialinfectionandnon-bacterialinfectionsuchasvirusesaccordingtothehemogramresultandtheywererespectivelygivencefaclorantiinfectiontreatmentandleighbhavelinvirustreatment；thetreatmentgroupweregivenantipyreticclearsolutionsouptreatmentonthebasisofthetreatmentofthecontrolgroupthetreatmenteffectsofthetwogroupswereobserved.ResultsThetotaleffectiverateofthetreatmentgroupwas92.19%and75.81%ofthecontrolgroupthedifferencewasstatisticallysignificant（P[Keywords]Antipyreticclearsolutionsoup；Children；Fevercausedbyexogenouspathogens；Curativeeffect现代医学将人体体温上升超过正常值0.5℃定义为发热[1]。中医认为[2]外感发热是外邪侵入人体正气抗邪正邪交争导致的热性病证过程。引起小儿外感发热的原因很多总结为以下几点：外感邪气肺失宣降；气机不利阳气郁积；脾胃不足积滞内停。外感发热多起病较急严重者可危患儿及生命。而对该病的西药药物治疗效果尚不理想因此中医药治疗的临床研究具有重要意义。该院在实践中积累经验整群选取该院2013年1月―2014年12月期间小儿内科发热患者126例作为研究对象应用退热清解汤联合西药治疗小儿外感发热取得良好疗效现报道如下。1资料与方