Clinical Observation of Chaiju Guizhi Tang for Children with Febrile Diseases
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摘要:
目的:研究柴菊桂枝汤治疗小儿发热性疾病的临床疗效。方法:将120例小儿发热性疾病患者随机分为观察组和对照组各60例。观察组予中药柴菊桂枝汤治疗,对照组予西药对症治疗,2组均治疗4天。治疗后,检测2组C-反应蛋白(C R P)水平,比较2组患儿的退热时间、C R P复常时间及伴随症状消失时间,比较2组临床疗效及不良反应发生率。结果:治疗后1~4天,2组C R P与治疗前比较均下降(P<0.05);治疗后1天、2天,观察组C R P值与对照组比较均无差异(P>0.05),治疗后3天、4天,观察组C P R值均较对照组低(P<0.05);2组退热时间、C R P复常时间及伴随症状消失时间比较均无差异(P>0.05);观察组总有效率为9 8.3%,对照组总有效率为100%,2组比较,差异无统计学意义(P>0.05);不良反应发生率观察组为11.6%,对照组为66.7%,2组比较,差异有统计学意义(P<0.05)。结论:柴菊桂枝汤在治疗小儿发热性疾病方面疗效肯定,不良反应较少,具有较高的临床应用价值。
Abstract:
Objective:To observe the clinical effect of Chaiju Guizhi tang for children with febrile diseases.M e th o d s:Divided 120 cases of children with febrile diseases into the observation group and the control group randomly,60 cases in each group.The observation group was given Chaiju Guizhi tang for treatment,while the control group was given symptomatic treatment of western medicine.The treatment lasted for four days.After treatment,detected levels of C-reactive protein(CRP)in the two groups,compared the antipyretic time,the recovery time of CRP and the disappearance time of concomitant symptoms.Compared the clinical effect and the incidence of adverse reactions in the two groups.Results:CRP values from the first day to the fourth day after treatment in the two group were decreased when compared with those before treatment(P<0.05).No significant differences were found in the comparison of CRP value between the two groups on the first and the second day after treatment(P>0.05).CRP values in the observation group were lower than that in the control group on the third and the fourth day after treatment(P<0.05).No significant differences were found in the comparisons of the recovery time of CRP and the disappearance time of concomitant symptoms between the two groups(P>0.05).The total effective rate was 98.3%in the observation group and 100%in the control group,there being no significance in the difference(P>0.05).The incidence of adverse reactions was 11.6%in the observation group and 66.7%in the control group,the difference being significant(P < 0.05).Conclusion:The curative effect of Chaiju Guizhi tang can be confirmed for children with febrile diseases,with lower incidence of adverse reactions and higher clinical value.