中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
16期
104-106
,共3页
小儿%热性惊厥%中药%保留灌肠
小兒%熱性驚厥%中藥%保留灌腸
소인%열성량궐%중약%보류관장
Children%Febrile convulsion%Chinese medicine%Enema
目的：探索钩蝉承气汤水煎剂保留灌肠治疗小儿复杂型热性惊厥的临床疗效。方法：选取2012年1月-2013年12月在本院住院的90例复杂型热性惊厥患儿，按照随机数字表法将其分为研究组60例和对照组30例，两组均给予常规抗惊厥治疗，对照组给予口服地西泮治疗，研究组给予钩蝉承气汤水煎剂保留灌肠治疗，观察比较两组患儿的治疗效果、热性惊厥再发频率、热退后2周和4周的脑电图异常率、治疗前后症状体征平均积分及住院时间、费用的差异。结果：与对照组比较，研究组患儿的治疗总有效率明显高于对照组（P<0.05），且热性惊厥再发率、热退后脑电图异常率、症状体征平均积分、平均住院费用和住院时间均明显低于对照组，差异均有统计学意义（P<0.05或P<0.01）。结论：钩蝉承气汤水煎剂保留灌肠治疗小儿复杂型热性惊厥能明显减少热性惊厥再发率，疗效显著，无明显不良反应，值得在临床上推广。
目的：探索鉤蟬承氣湯水煎劑保留灌腸治療小兒複雜型熱性驚厥的臨床療效。方法：選取2012年1月-2013年12月在本院住院的90例複雜型熱性驚厥患兒，按照隨機數字錶法將其分為研究組60例和對照組30例，兩組均給予常規抗驚厥治療，對照組給予口服地西泮治療，研究組給予鉤蟬承氣湯水煎劑保留灌腸治療，觀察比較兩組患兒的治療效果、熱性驚厥再髮頻率、熱退後2週和4週的腦電圖異常率、治療前後癥狀體徵平均積分及住院時間、費用的差異。結果：與對照組比較，研究組患兒的治療總有效率明顯高于對照組（P<0.05），且熱性驚厥再髮率、熱退後腦電圖異常率、癥狀體徵平均積分、平均住院費用和住院時間均明顯低于對照組，差異均有統計學意義（P<0.05或P<0.01）。結論：鉤蟬承氣湯水煎劑保留灌腸治療小兒複雜型熱性驚厥能明顯減少熱性驚厥再髮率，療效顯著，無明顯不良反應，值得在臨床上推廣。
목적：탐색구선승기탕수전제보류관장치료소인복잡형열성량궐적림상료효。방법：선취2012년1월-2013년12월재본원주원적90례복잡형열성량궐환인，안조수궤수자표법장기분위연구조60례화대조조30례，량조균급여상규항량궐치료，대조조급여구복지서반치료，연구조급여구선승기탕수전제보류관장치료，관찰비교량조환인적치료효과、열성량궐재발빈솔、열퇴후2주화4주적뇌전도이상솔、치료전후증상체정평균적분급주원시간、비용적차이。결과：여대조조비교，연구조환인적치료총유효솔명현고우대조조（P<0.05），차열성량궐재발솔、열퇴후뇌전도이상솔、증상체정평균적분、평균주원비용화주원시간균명현저우대조조，차이균유통계학의의（P<0.05혹P<0.01）。결론：구선승기탕수전제보류관장치료소인복잡형열성량궐능명현감소열성량궐재발솔，료효현저，무명현불량반응，치득재림상상추엄。
Objective:To investigate the clinical effect of retention enema with Gouchan chengqi decoction in the treatment of children with complicated febrile convulsion.Method:90 children with complicated febrile convulsion were selected in our hospital from January 2011 to December 2013,they were randomly divided into the study group for 60 cases and the control group for 30 cases.The two groups were given conventional anti convulsive therapy,the control group was given oral diazepam treatment,and the study group was given retention enema with Gouchan chengqi decoction. The treatment effect,febrile convulsion recurrent frequency,the abnormal rate of EEG heat back in 2 weeks and 4 weeks,the average score of symptoms and signs before and after treatment,hospital stays and hospitalization expenses between the two groups were observed and compared.Result:Compared with the control group,the total effective rate of the study group was significantly higher than the control group,the difference was statistically significant(P<0.05). And the febrile convulsion recurrent frequency,the abnormal rate of EEG heat back,the average score of symptoms and signs,the average of hospital stays and hospitalization expenses of the study group were significantly lower than those of the control group,the differences were statistically significant(P<0.05 or P<0.01).Conclusion:Retention enema with Gouchan chengqi decoction in the treatment of children with complicated febrile convulsion can significantly reduce the incidence of febrile convulsion,has obvious curative effect and no significant adverse reactions,it is worthy of clinical promotion.
