摘要
目的观察疏风清热解毒药对急性上呼吸道感染合并热性惊厥(Febrile seizures,FS)患儿热惊后体温的影响。方法将86例患儿随机分为非中成药组41例及中成药组45例,非中成药组用西药对症治疗,中成药组患儿除西医对症治疗外,加用疏风清热解毒中成药(口服小儿感冒退热糖浆治疗,大于2岁患儿加静脉滴注热毒宁注射液治疗)。结果中成药组较非中成药组能缩短热惊后患儿热退时间,但差异无统计学意义(P>0.05)。急性上呼吸道感染合并热性惊厥患儿易发生惊厥时间段在48 h内,有出现再次惊厥可能,时间发生在初次惊厥发生后的24 h内。惊厥后热退时间与病初血常规白细胞CRP、PCT均无相关。结论疏风清热解毒药运用于热惊后患儿应辨证施治,因此在高热48 h内应密切关注患儿体温变化,警惕惊厥发生。
Objective To observe the effect of dispelling wind and clearing heat-toxicity medicine on body temperature of children with acute upper respiratory tract infection and febrile seizures(FS).Method 86 cases were randomly divided into non-Chinese patent medicine group(41 cases)and Chinese patent medicine group(45 cases).Non-Chinese patent medicine group with western medicine symptomatic treatment,and Chinese patent medicine group was treated with western medicine symptomatic treatment and dispelling wind and clearing heat-toxicity medicine(oral Xiaoer Ganmao Tuire syrup,adding njection was given intravenously for intravenous drip with children more than two years).Results Compared with non-Chinese patent medicine group,Chinese patent medicine group could shorten the time of fever subsiding after FS,but the difference was not statistically significant(P>0.05).Children with acute upper respiratory tract infection and FS are prone to convulsions with 48 hours.There was the possible of happening FS again within 24 hours after the first FS.There was no correlation between the time of fever subsiding with WBC,CRP,PCT.Conclusion The dispelling wind and clearing heat-toxicity medicine should be used with treatment based on syndrome differentiation.The change of children’s body temperature is closely monitored during 48 hours of high fever to keep an eye out for FS.
作者
钟灵毓
李双双
ZHONG Lingyu;LI Shuangshuang(Pediatric Department,Nantong Maternity and Child Health Care Hospital,Jiangsu province,Nantong 226000,China)
出处
《光明中医》
2021年第1期14-16,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
热性惊厥
热退时间
疏风清热解毒药
febrile seizures
the time of fever subsiding
dispelling wind and clearing heat-toxicity medicine
