中西医结合治疗小儿高热惊厥的临床疗效

摘要

ObjectiveTo study the curative effect of combined traditional Chinese and Western medicine for febrile convulsion in children.Methods Totally 78 cases of children with febrile convulsion in our hospital from October 2013 to October 2015 were selected as research objects, and randomly divided into group A (conventional symptomatic treatment+Fufang Xiaoer Tuire suppository group), group B (conventional symptomatic treatment+Annao pill group) and group C (conventional symptomatic treatment+Annao pills combined with Fufang Xiaoer Tuire suppository group), each group had 26 cases. The fever time, the time of febrile convulsion, the controlling situation of clinical symptoms before and after treatment and clinical curative effect after treatment were compared among the groups and analyzed.Results After treatment, there were visible differences in the fever time, the febrile convulsion time, the clinical symptoms of high fever and convulsions, the electroencephalogram manifestations, the white blood cell count, and the total clinical effective rate among the three groups (P < 0.05). Compared with the group A, the fever time and the febrile convulsion time of the groups B and C were significantly shortened, the group C was significantly better than the group B; the total clinical effective rate of the group C was significantly higher than that of the group A (P < 0.05).Conclusions On the basis of conventional symptomatic treatment, Annao pills and Fufang Xiaoer Tuire suppository have certain clinical curative effect for children with febrile convulsion. Combination of the two medicines can play better roles in shortening the duration of febrile convulsion, improving clinical symptoms and enhancing clinical curative effect, thus Annao bills combined with Fufang Xiaoer Tuire suppository can be used as the preferred treatment for children with febrile convulsion.%目的 探讨中西医结合治疗小儿高热惊厥的临床疗效.方法 选取该院2013年10月-2015年10月收治的78例高热惊厥患儿作为研究对象.随机分为A组(常规对症治疗+复方小儿退热栓组)、B组(常规对症治疗+安脑丸组)和C组(常规对症治疗+安脑丸联合复方小儿退热栓组),每组各26例.对各组患儿高热时间、惊厥时间、治疗前后临床症状控制情况及临床疗效进行比较分析.结果 治疗后3组患儿在高热时间、惊厥时间、发热、惊厥症状、脑电图和白细胞计数等临床症状积分以及临床总有效率方面差异有统计学意义(P<0.05);B、C组与A组比较高热和惊厥时间缩短,各项临床症状积分减少,其中C组均优于B组;C组临床总有效率,相比A组增加.结论 在常规对症治疗基础上加以安脑丸和复方小儿退热栓治疗小儿高热惊厥均具有一定的临床疗效,两者联合使用能使缩短高热惊厥持续时间、改善临床症状以及提高临床疗效,因此可将安脑丸联合复方小儿退热栓作为治疗小儿高热惊厥的优选治疗方案.