目的 评价中药药浴治疗风热型小儿外感发热的退热效果.方法 收集符合入组标准的风热型小儿外感发热患者336例,随机分为对照组和药浴组,对熙组进行基础治疗(静脉注射炎琥宁注射液和口服柴黄颗粒),药浴组进行基础治疗加中药药浴治疗,记录入组后72h患儿的体温,绘制72h体温曲线图,比较2组的退热效率、起效时间、解热时间和第1、2、3天及72h体温曲线下面积.结果 ①药浴组退热效率明显高于对照组(P＜0.05)；②药浴组起效时间和对照组无显著性差异(P＞0.05)；③药浴组的解热时间明显短于对照组(P＜0.05)；④药浴组的第1、2、3天及72 h体温曲线下面积均明显小于对照组(P＜0.05).结论 中药药浴对风热型小儿外感发热具有确定的退热疗效,中药药浴联合常规治疗可明显提高退热率,缩短解热时间,减小风热型小儿外感发热的体温曲线下面积,提高患者的生存质量,但不能缩短退热起效时间.%OBJECTIVE To evaluate the antifebrile effect on pediatric exogenous fever of wind-heat type with the treatment of traditional Chinese medical bath. METHODS 336 children with pediatric exogenous fever of wind-heat type were selected and randomly divided into control group and medical bath group. Control group were given fundamental treatment (Yan Hu-ning Injection and Caihuang Granule); while medical bath group were undertaken fundamental treatment combined with traditional Chinese medical bath. 72 h temperature note and curve graph of patients for two groups were used to compare antifebrile effect, onset time, febrifuge time and the area under the curve line of the 1st, 2nd, 3rd day and 72 h. RESULTS ①Antifebrile effect of medicine bath group was better than control group(P<0.05) ;②nset time between groups did not show any significant difference (P>0.05); ③Febrifuge time of medical bath group was much shorter than that of control group. The area under the curve line of 1st, 2nd, 3rd day and 72 h in medical bath group were obviously smaller than control group (P<0.05). CONCLUSION Traditional Chinese medical bath has a definite antifebrile effect on pediatric exogenous fever of wind-heat type. Combining with fundamental treatment, it can significantly shorten the onset time and antipyretic time, and narrow the area under the temperature curve line, thus improving survival level.
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