摘要
目的:观察蜜芽罐联合放血疗法在小儿外感发热高热期应用的临床疗效。方法:选取2023年3月—2025年2月在天台县中医院住院治疗的118例高热期患儿为研究对象,采用随机数字表法分为对照组和观察组各59例。对照组给予常规治疗联合放血疗法,观察组在对照组基础上给予蜜芽罐联治疗。疗程均为2天。比较2组临床疗效、降温效果(不同时点体温、体温恢复情况、体温反弹情况)、中医证候评分、并发症及不良反应发生情况。结果:治疗后,观察组总有效率为98.31%(58/59),对照组为86.44%(51/59),2组比较,差异有统计学意义(P<0.05)。入院时,2组腋温水平比较,差异无统计学意义(P>0.05);治疗12 h、24 h、48 h后,观察组在相同的时间点腋温水平均低于对照组,差异有统计学意义(P<0.05)。观察组体温下降0.5℃所需时间、体温恢复正常时间均明显少于对照组(P<0.05)。观察组体温反弹率为3.45%(2/58),对照组为19.61%(10/51),2组比较,差异有统计学意义(P<0.05)。治疗后,2组微恶风、汗泄不畅、咳嗽及鼻塞流涕等中医证候评分均较治疗前降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。治疗期间,观察组并发症发生率为5.08%(3/59),对照组为18.64%(11/59),组间比较,差异有统计学意义(P<0.05)。治疗期间,2组均未出现严重的局部感染、血肿或出血等不良反应。结论:在常规治疗基础之上,应用蜜芽罐联放血疗法治疗小儿外感发热高热期,能够改善中医证候,加速体温恢复正常,降低体温反弹率和并发症发生率,疗效安全可靠。
Objective:To observe the clinical efficacy of miya cupping combined with bloodletting therapy in the treatment of externally contracted fever during the high fever stage in children.Methods:A total of 118 children in the high fever stage hospitalized at Traditional Chinese Medicine Hospital of Tiantai County from March 2023 to February 2025 were enrolled.They were randomly divided into the control group and the observation group using the random number table method,with 59 cases in each group.The control group received conventional treatment combined with bloodletting therapy,while the observation group received additional miya cupping on the basis of the control group's treatment.The treatment course for both groups was two days.The clinical efficacy,antipyretic effect(body temperature at different time points,time for body temperature to return to normal,body temperature rebound rate),traditional Chinese medicine syndrome scores,and incidence of complications and adverse reactions were compared between the two groups.Results:After treatment,the total effective rate was 98.31%(58/59)in the observation group and 86.44%(51/59)in the control group,with a statistically significant difference between the two groups(P<0.05).At admission,there was no statistically significant difference in axillary temperature values between the two groups(P>0.05).After 12 h,24 h,and 48 h of treatment,the axillary temperature values in the observation group were lower than those in the control group at the same time points(P<0.05).The time for the body temperature to drop by 0.5℃and the time for body temperature to return to normal were significantly shorter in the observation group compared to the control group(P<0.05).The body temperature rebound rate was 3.45%(2/58)in the observation group and 19.61%(10/51)in the control group,showing a statistically significant difference between the two groups(P<0.05).After treatment,traditional Chinese medicine syndrome scores for mild aversion to wind,difficulty in sweating,cough,nasal congestion,and runny nose decreased in both groups compared to before treatment(P<0.05),and each traditional Chinese medicine syndrome score in the observation group was lower than that in the control group(P<0.05).During treatment,the complication incidence was 5.08%(3/59)in the observation group and 18.64%(11/59)in the control group,with a statistically significant difference between the two groups(P<0.05).During treatment,no severe adverse reactions such as local infection,hematoma,or bleeding occurred in either group.Conclusion:On the basis of conventional treatment,the application of miya cupping combined with bloodletting therapy in the treatment of children with externally contracted fever during the high fever stage can improve traditional Chinese medicine syndrome,promote the return of body temperature to normal,reduce the body temperature rebound rate and complication incidence,demonstrating safe and reliable efficacy.
作者
周卫青
王琼琼
王一博
章丰丰
蒋晓敏
梁丽娜
陈铃威
ZHOU Weiqing;WANG Qiongqiong;WANG Yibo;ZHANG Fengfeng;JIANG Xiaomin;LIANG Li'na;CHEN Lingwei(Traditional Chinese Medicine Hospital of Tiantai County,Tiantai Zhejiang 317299,China)
出处
《新中医》
2026年第8期147-151,共5页
New Chinese Medicine
基金
浙江省中医药科技计划(2024ZL1268)。
关键词
外感发热
小儿
高热期
蜜芽罐
放血疗法
降温效果
Externally contracted fever
Children
High fever stage
Miya cupping
Bloodletting therapy
Antipyretic effect
