药浴疗法治疗小儿外感发热风热型临床疗效研究-study on the clinical effect of medicated bath therapy on children with exogenous fever caused by wind-heat type.docxVIP
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药浴疗法治疗小儿外感发热风热型临床疗效研究-study on the clinical effect of medicated bath therapy on children with exogenous fever caused by wind-heat type
目录摘要..................................................................1Abstract2前言..................................................................4对象与方法............................................................51病例选择........................................................52设计类型及原则..................................................63研究内容和方法..................................................6结果.................................................................101一般资料.......................................................102药浴疗法退热作用...............................................133安全评价.......................................................17理论探讨.............................................................191中西医对小儿外感发热的认识.....................................192药浴疗法.......................................................203影响药浴疗法临床疗效的关键因素研究.............................224药浴疗法在儿科应用的优势.......................................245药浴疗法治疗小儿外感发热(风热型)的退热疗效...................256本课题研究的意义...............................................257研究限制及对未来研究的建议.....................................26结论.................................................................27致谢.................................................................28参考文献.............................................................29附录1知情同意书.....................................................31附录2病例报告表.....................................................33附录3体温记录表.....................................................47附录4文献综述.......................................................48附录5药浴疗法治疗小儿外感发热技术操作规范..........................52摘要目的:①明确中药药浴治疗风热型小儿外感发热的疗效。②为临床上开展药浴疗法提供依据。方法:收集符合入组标准的风热型小儿外感发热患者132例,随机分为对照组和药浴组,对照组进行基础治疗(静脉滴注炎琥宁注射液和口服柴黄颗粒),药浴组进行基础治疗加中药药浴治疗,记录入组后72小时患儿的体温,绘制72小时体温曲线图,比较两组的起效时间、解热时间﹑每日最高体温、及治疗后第1、2、3天体温曲线下面积。结果:①药浴组退热有效率明显高于对照组(p<0.05);②药浴组起效时间和对照组无显著性差异(p>0.05);③药浴组的解热时间明显短于对照组(p<0.05);④治疗后第1天最高体温下降幅度两组无明显差异,第2、3天每日最高体温下降幅度药浴组均优于对照组(p<0.05);⑤药浴组治疗后第1、2、3天体温曲线下面积均明显小于对照组(p<0.05)。结论:①中药药浴对风热型小儿外感发热具有确定的退热疗效。②中药药浴联合常
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