ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (4): 343-345.doi: 10.3969/j.issn.1674-3865.2018.04.021

• 临床研究 • 上一篇    下一篇

小儿推拿辅助治疗婴幼儿疱疹性咽峡炎实热证疗效观察

贾国华   

  1. 073299 河北 保定,河北省阜平县中医医院儿科
  • 出版日期:2018-08-25 发布日期:2018-12-03
  • 作者简介:贾国华(1976-),女,副主任医师。研究方向:小儿内科疾病的中医药综合治疗,E-mail:bdfpjgh@163.com

Observation on the effect of infantile massage as adjuvant treatment for infants with herpangina(solid-heat syndrome)

JIA Guohua   

  1. Department of Pediatrics, Fuping County Hospital of Traditional Chinese Medicine in Hebei Province, Baoding 073299,China
  • Online:2018-08-25 Published:2018-12-03

摘要:
目的
观察小儿推拿辅助治疗婴幼儿疱疹性咽峡炎实热证的临床疗效。
方法
选取2015年10月至2017年2月河北省阜平县中医医院儿科门诊收治的疱疹性咽峡炎患儿107例,随机分为观察组54例和对照组53例。对照组应用利巴韦林、能量药物静脉滴注治疗,发热38.5 ℃以上予以退热药物。观察组在对照组治疗基础上结合小儿推拿治疗,4 d后比较两组治疗效果及治疗前后临床症状体征消失时间。
结果
观察组总有效率为90.7%(49/54),显著高于对照组75.5%(40/53),差异有统计学意义(P<0.05)。观察组退热时间、流涎消失时间、疱疹消失时间均短于对照组,差异有统计学意义(P<0.05)。
结论
小儿推拿辅助治疗婴幼儿疱疹性咽峡炎实热证临床疗效较好,且方法简便,操作容易,患儿及家属容易接受。

关键词: 疱疹性咽峡炎, 实热证, 推拿, 婴幼儿

Abstract:
Objective
To observe the clinical effect of infantile massage as adjuvant treatment for infants with herpangina(solid-heat syndrome).
Methods
Totally 107 cases of herpangina were selected who were treated from October 2015 to February 2017 in the Outpatient Department of Pediatrics, Fuping County Hospital of Hebei Province. The patients were randomly divided into two groups:54 cases in the observation group and 53 cases in the control group. The control group was treated with intravenous dripping of ribavirin and energy drugs, and antipyretic drugs were used for fever above 38.5 ℃. The observation group was treated with massage therapy on the basis of the treatment for control group. After 4 days, the treatment effect and the time for clinical symptoms and signs to disappear before and after treatment were compared between the two groups.
Results
The total effective rate of the observation group was 90.7% (49/54), which was significantly higher than that of the control group (75.5%,40/53), and the difference was statistically significant (P<0.05). The fever abatement time, saliva disappearance time and herpes disappearance time in the observation group were shorter than those in the control group, the difference being statistically significant (P<0.05).
Conclusion
The clinical efficacy of infantile massage in the treatment of infantile herpangina is better, and the method is simple and easy to perform; it's more likely for the children and their families to accept.

Key words: Herpangina, Solid heat syndrome, Massage, Infants