摘要
目的观察中药涌泉穴外敷对发热患儿的降温效果。方法选择发热患儿198例，随机分为观察组102例和对照组96例，观察组用中药在涌泉穴外敷，对照组用酒精擦浴，比较两组患儿60、90、120min的降温有效率，维持降温的时间以及护士降温操作所需时间。结果60min后观察组降温有效率为41．2％，对照组为35．4％，两组比较差异无统计学意义（χ2=0．764，P〉0．05）；90min和120min后观察组降温有效率分别为62．8％、77．5％，对照组分别为44．8％、38．5％，两组比较差异有统计学意义（χ2分别为6．805，31．00；P〈0．05或P〈0．01）。观察组护士完成降温操作时间较对照组明显缩短，两组比较差异具有统计学意义（t=91．41，P〈0．01）。结论用中药涌泉穴外敷可降低发热患儿的体温，延长降温的持续时间，简便易行，且无不良反应，值得临床推广。
Objective To observe the clinical effects of external application of traditional Chinese medicine on springs acupuncture points for pediatric fever. Methods From July 2009 to December 2010, 198 cases of outpatient or ward patients in our hospital with acute upper respiratory infection were randomly divided into the therapeutic group （102 cases） and the control group （96 cases）. The therapeutic group was treated with springs acupuncture points external application of traditional Chinese medicine, while the control group was given alcohol sponge bath. The total effective rates in the two groups in 60 min, 90 min and 120 rain post- treatment were tested with X2 tests. After the treatment, nurses ＇ operating time for reducing fever and the normal temperature duration were also evaluated critically. Results No statistical difference of the total effective rates were found between the therapeutic group （41.2%） and the control group （35.4%）, and χ2 =0. 764, P 〉 0.05 in 60 min post-treatment. While after 90 rain andl20 min, the effective rates between the therapeutic group （62.8% and 77.5% ） and control group （44.8% and 38.5% ） was significant （ χ2 = 6. 805,31. 000; P 〈 0. 05 or P 〈 0. 01 ）. Meanwhile, nurses＇ operating time were shorten than use alcohol sponge bath （ t = 91.41, P 〈 0. 01 ）. Conclusions For pediatric febrile patients, external application of traditional Chinese medicine on springs acupuncture points is an easy and safe treatment, and it can get a durative antipyretic action without any adverse effects.
出处
《中华现代护理杂志》
2011年第31期3729-3731,共3页
Chinese Journal of Modern Nursing
基金
上海市交通大学附属第六人民医院科学研究基金项目（院-1228）
关键词
发热
儿童
中药外敷
穴
涌泉
Pediatric fever
Children
External application of traditional Chinese medicine
Acupuncture point, springs
