中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
24期
2890-2891
,共2页
烧伤%惊厥%中西医结合疗法%清开灵注射液%安宫牛黄丸%紫雪丹
燒傷%驚厥%中西醫結閤療法%清開靈註射液%安宮牛黃汍%紫雪丹
소상%량궐%중서의결합요법%청개령주사액%안궁우황환%자설단
Burns%Convulsions%TCM wm therapy%Qingkailing injection%Angong niuhuang pill%Zixue pellet
目的：观察中西医结合治疗小儿烧伤后惊厥的临床疗效。方法选取2005年1月-2013年12月本院烧伤科收治的烧伤后惊厥患儿96例，将其随机分为对照组和观察组，各48例。对照组患儿给予西医治疗，包括通畅呼吸道、吸氧、镇静、止痉、退热等常规治疗。观察组在对照组治疗的基础上，另给予清开灵注射液静脉滴注，安宫牛黄丸口服，紫雪丹口服、外敷。采用χ2检验比较两组患儿治疗后的总有效率。结果治疗后观察组显效32例，有效14例，无效2例，总有效率为95.8%；对照组显效26例，有效8例，无效14例，总有效率为70.8%。观察组患儿总有效率高于对照组（χ2=11.56，P<0.05）。结论中西医结合治疗小儿烧伤后惊厥疗效好，有利于患儿及早康复。
目的：觀察中西醫結閤治療小兒燒傷後驚厥的臨床療效。方法選取2005年1月-2013年12月本院燒傷科收治的燒傷後驚厥患兒96例，將其隨機分為對照組和觀察組，各48例。對照組患兒給予西醫治療，包括通暢呼吸道、吸氧、鎮靜、止痙、退熱等常規治療。觀察組在對照組治療的基礎上，另給予清開靈註射液靜脈滴註，安宮牛黃汍口服，紫雪丹口服、外敷。採用χ2檢驗比較兩組患兒治療後的總有效率。結果治療後觀察組顯效32例，有效14例，無效2例，總有效率為95.8%；對照組顯效26例，有效8例，無效14例，總有效率為70.8%。觀察組患兒總有效率高于對照組（χ2=11.56，P<0.05）。結論中西醫結閤治療小兒燒傷後驚厥療效好，有利于患兒及早康複。
목적：관찰중서의결합치료소인소상후량궐적림상료효。방법선취2005년1월-2013년12월본원소상과수치적소상후량궐환인96례，장기수궤분위대조조화관찰조，각48례。대조조환인급여서의치료，포괄통창호흡도、흡양、진정、지경、퇴열등상규치료。관찰조재대조조치료적기출상，령급여청개령주사액정맥적주，안궁우황환구복，자설단구복、외부。채용χ2검험비교량조환인치료후적총유효솔。결과치료후관찰조현효32례，유효14례，무효2례，총유효솔위95.8%；대조조현효26례，유효8례，무효14례，총유효솔위70.8%。관찰조환인총유효솔고우대조조（χ2=11.56，P<0.05）。결론중서의결합치료소인소상후량궐료효호，유리우환인급조강복。
Objective To investigate the therapeutic effect of the combination of traditional Chinese medicine( TCM) and west medicine for convulsion after burn injury in children. Methods 96 children with convulsion after burn injury,admitted to our hospital from January 2005 to December 2013,were randomly divided into control group and observation group with each group 48 cases. The control group was given west medicine treatment,including opening air passages,oxygen uptake,sedation, relieving convulsion and abatement of fever. While the observation group was given additional drip-feed of Qingkailing Injection, oral Bezoar Bolus,oral and packed Zixue Pellet.χ2 was used to compare the therapeutic effect of the two groups. Results After treatment,32 cases were significantly improved,14 cases were improved and 2 cases were invalid in the observation group,with a total therapeutic effect of 95. 8%;26 cases were significantly improved,8 cases were improved and 14 cases were invalid in the control group,with a total therapeutic effect of 70. 8%,which was significantly higher than the control group(χ2 =11. 56, P<0. 05). Conclusion The therapeutic effect is fairly good by combining TCM and west medicine,which is conducive to the childrenˊs immediate rehabilitation.
