摘要
目的:观察小儿外感发热施行以降低核心体温为基础的中医综合护理干预效果。方法:选取2017年5月—2020年6月信阳市中医院收治的102例外感发热患儿作为研究对象,采用随机数表法分为对照组和观察组,各组各51例,对照组采用中医常规护理,观察组采用以降低核心体温为基础的中医综合护理干预,比较两组患儿体温变化、退热起效时间、病程持续时间、痊愈时间、临床疗效情况。结果:治疗后,观察组患儿肛温、腋温水平与对照组相比更低,差异有统计学意义(t=2.413、4.088,P<0.05);观察组患儿退热起效时间、病程持续时间、痊愈达标时间与对照组相比更低,差异有统计学意义(t=4.676、14.677、3.631,P<0.05);观察组患儿临床疗效水平较对照组更高,差异有统计学意义(Z=3.289,P<0.05)。结论:外感发热患儿施行以降低核心体温为基础的中医综合护理干预,以肛温测量结果为导向,结合清天河水、中药贴敷和中药熏洗,患儿的体温下降更快,退热时间更短,病程持续时间缩短,临床疗效更佳。
Objective:To observe the effect of traditional Chinese medicine integrated care based on lowering core body temperature in children with exogenous fever.Methods:102 children with febrile illnesses admitted to the hospital from May 2017 to June 2020 were selected and divided into the control group and the observation group using the random number table method,with 51 patients in each group.The control group used TCM conventional nursing care,and the observation group used TCM comprehensive nursing intervention based on reducing core body temperature.The temperature changes,onset time of fever reduction,duration of illness,healing time and clinical efficacy were compared between the two groups of children.Results:After treatment,the anal and axillary temperature levels of the children in the observation group were lower compared with those of the control group,and the differences were statistically significant(t=2.413,4.088;P<0.05).The onset time of fever reduction,duration of illness,and time to cure and reach the standard were lower in the children in the observation group compared with the control group,and the differences were statistically significant(t=4.676,14.677,3.631;P<0.05).The level of clinical efficacy of children in the observation group was higher compared to the control group,and the difference was statistically significant(Z=3.289,P<0.05).Conclusion:In children with exogenous fever,the implementation of Chinese medicine integrated nursing intervention based on lowering core body temperature,which is guided by the results of anal temperature measurement,combined with the water of Qingtian River,acupoint plasters,and traditional Chinese medicine fumigation,resulteing in a faster decline in the child’s body temperature,shorter time to reduce fever,shorter duration of illness,and better clinical efficacy.
作者
卢璐
闫翠
陈姝
Lu Lu;Yan Cui;Chen Shu(Pediatrics,Xinyang Traditional Chinese Medicine Hospital,Xinyang,Henan,464000,China)
出处
《黑龙江医学》
2024年第7期856-858,共3页
Heilongjiang Medical Journal
基金
河南省中医药科学研究专项课题(2021ZY2289)。
关键词
小儿
外感发热
核心体温
中医护理
Pediatric
Exogenous fever
Core body temperature
Traditional Chinese medicine care
作者简介
通信作者:卢璐,E-mail:18237639290@163.com。
