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1、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月一2014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(「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,分别给予头抱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(1X0.05)。结论退热清解汤联合西药治疗小儿外感发热的疗效
2、较单纯西药治疗小儿外感发热的效果好,值得临床推广应用。[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)-0163-03CurativeEffectAnalysisofAntipyreticClearSolutionSoupCombinedwithWesternMedicineintheTreatmentofFeverCausedbyExogenousPathogensinChildrenYANGHua,LIUXu,YANGKaiPediatrics,JiaozhouCe
3、ntralHospital,Qingdao,ShandongProvince,266300China[Abstract]ObjectiveTostudythecurativeeffectofantipyreticclearsolutionsoupcombinedwithwesternmedicineinthetreatmentoffevercausedbyexogenouspathogensinchildren.Methods126casesofpatientswithfeverpatientstreatedinthepediatrieinternal
4、medicineofourhospitalfromJanu且ry2013toDecember2014wereselectedandrandomlydividedintotreatmentgroup(n二64)andcontrolgroup(n二62),thecausesofthecontrolgroupweredividedintobacterialinfectionandnon-bacterialinfectionsuchasvirusesaccordingtothehemogramresult,andtheywererespectivelygive
5、ncefaclorantiinfectiontreatmentandleighbhavelinvirustreatment;thetreatmentgroupweregivenantipyreticclearsolutionsouptreatment,onthebasisofthetreatmentofthecontrolgroup,thetreatmenteffectsofthetwogroupswereobserved.ResuItsThetotaleffectiverateofthetreatmentgroupwas92.19%,and75.81
6、%ofthecontrolgroup,thedifferencewasstatisticallysignificant(P<0.05)・ConclusionThecurativeeffectofantipyreticclearsolutionsoupcombinedwithwesternmedicinewasbetterthanthatofonlywesternmedicineinthetreatmentoffevercausedbyexogenouspathogensinchildren,whichisworthyofpromotionandappl
7、ication.[Keywords]Antipyreticclearsolutionsoup;Children;Fevercausedbyexogenouspathogens;Curativeeffect现代医学将人体体温上升超过正常值0.5°C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
8、义。该院在实践屮积累经验,整群选取该院2013年1月一2014年12月期间小儿内科发热患者12