中药熏洗疗法对儿童发热恢复期体温波动的干预作用及临床效果分析
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张晴晴
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扬中市人民医院，江苏扬中，212200
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摘要：目的 探讨中药熏洗疗法对儿童上呼吸道感染发热恢复期体温波动的干预作用及综合临床效果。方法 于 2025 年 5 月起，选取 18 例发热恢复期患儿，随机分为实验组与对照组，各 9 例。实验组采用中药（苏叶、荆芥、金银花、连翘、艾叶）熏洗足部治疗，对照组采用常规护理。对比分析两组患儿的体温波动幅度、发热恢复时间、热性惊厥复发率及临床症状改善评分。结果 与对照组相比，实验组体温波动幅度显著减小（0.4±0.1 vs 0.8±0.2 °C, P＜0.001），发热恢复时间显著缩短（18.5±4.2 vs 26.3±5.8 小时, P=0.002），热性惊厥复发率显著降低（11.1% vs 55.6%, P=0.025），临床症状改善更优（评分变化值：-5.1±1.0 vs -2.2±0.9, P＜0.001）。所有差异均具有统计学意义。结论 中药熏洗疗法能有效稳定儿童发热恢复期的体温，加速康复进程，降低热性惊厥复发风险，并显著改善临床症状，是一种安全有效的辅助治疗方法，值得临床推广。
关健词：中药熏洗；儿童发热；体温波动；随机对照试验
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Intervention Effect and Clinical Efficacy Analysis of raditional Chinese Herbal Fumigation and Washing Therapy on TemperatureFluctuations in Children During Febrile Recovery
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Qingqing Zhang
Yangzhong People's Hospital, Yangzhong Jiangsu 212200，China
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Abstract: Objective To investigate the intervention effect and comprehensive clinical efficacy of traditional Chinese herbal fumigation and washing therapy on temperature fluctuations in children with upper respiratory tract infections during the febrile recovery period. Methods Starting from May 2025, 18 children in the febrile recovery period were selected and randomly divided into an experimental group and a control group, with 9 cases in each group. The experimental group received foot fumigation and washing therapy using Chinese herbs (Perilla leaf, Schizonepeta, Honeysuckle, Forsythia, and Mugwort), while the control group received conventional care. The amplitude of temperature fluctuations, febrile recovery time, recurrence rate of febrile seizures, and clinical symptom improvement scores were compared and analyzed between the two groups. Results Compared with the control group, the experimental group showed a significantly smaller amplitude of emperature fluctuations(0.4±0.1 vs. 0.8±0.2 °C, P＜0.001), a significantly shorter febrile recovery time (18.5±4.2 vs. 26.3±5.8 hours, P=0.002), asignificantly lower recurrence rate of febrile seizures (11.1% vs. 55.6%, P=0.025), and better improvement in clinical symptoms(score change: -5.1±1.0 vs. -2.2±0.9, P＜0.001). All differences were statistically significant. Conclusion Traditional Chinese herbal fumigation and washing therapy can effectively stabilize body temperature in children during the febrile recovery period,accelerate the recovery process, reduce the risk of febrile seizure recurrence, and significantly improve clinical symptoms. It is asafe and effective adjuvant therapy worthy of clinical promotion.
Keywords : Traditional Chinese herbal fumigation and washing; Pediatric fever; Temperature fluctuations; Randomizedcontrolled trial
参考文献
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