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【目的】观察青蒿香薷散浸浴治疗夏季小儿外感发热的降温效果。【方法】将420例外感发热患儿随机分为治疗组和对照组各210例。所有患儿均给予常规中西医结合治疗,包括:西药口服利巴韦林抗病毒治疗;流涕咳嗽者加服双扑伪麻分散片;腋温38.5℃以上时口服布洛芬混悬液;中医辨证属风热犯表者给予银翘散加减,属暑湿伤表者给予新加香薷饮加减治疗。在此基础上,治疗组加用青蒿香薷散(青蒿、香薷、野菊花、薄荷)浸浴。观察2组疗效及需口服布洛芬退热次数。【结果】(1)治疗组的痊愈率和总有效率分别为32.38%和92.86%,对照组分别为20.48%和84.29%;2组比较,治疗组疗效显著优于对照组,差异有统计学意义(P<0.05)。(2)治疗组需使用退热药布洛芬次数为156次,对照组需使用退热药布洛芬次数为468次,治疗组需使用退热药次数显著少于对照组,2组比较差异有统计学意义(P<0.05)。(3)治疗期间,所有患儿均未发现明显不良反应。【结论】青蒿香薷散对夏季小儿发热治疗效果良好,具有用药安全方便的特点,值得临床推广应用。
【Objective】 To observe the cooling effect of Artemisia annua dipping bath in treating summer exogenous fever in children. [Methods] 420 children with exogenous fever were randomly divided into treatment group and control group of 210 cases. All children were given conventional Chinese and Western medicine treatment, including: western medicine oral ribavirin antiviral therapy; runny nose and cough were served with double flutter pseudoephedrine dispersible tablets; axillary temperature over 38.5 ℃ oral ibuprofen suspension; Differentiation of Chinese medicine is a wind-hot offender given Yinqiaosan addition and subtraction, is a summer wet injury table to give a new addition of Hong Yao drink treatment. On this basis, the treatment group added Artemisia Aconite Powder (Artemisia annua, Xiang Hong, wild chrysanthemum, mint) bath. Two groups were observed and the number of oral ibuprofen withdrawal required. 【Results】 (1) The cure rate and total effective rate of the treatment group were 32.38% and 92.86% respectively, while that of the control group were 20.48% and 84.29% respectively. The curative effect of the treatment group was significantly better than that of the control group Significance (P <0.05). (2) The number of antipyretics ibuprofen used in the treatment group was 156 times, the number of antipyretics ibuprofen used in the control group was 468 times, the number of antipyretics used in the treatment group was significantly less than that of the control group, and the two groups were compared The difference was statistically significant (P <0.05). (3) During treatment, no obvious adverse reactions were found in all children. 【Conclusion】 Artemisia Aconite Powder has a good effect on the treatment of summer pediatric fever. It has the characteristics of safe and convenient administration and worthy of clinical application.