不同手法推拿天河水穴对外感患儿的即时退热效果比较

目的 观察天河水穴在不同操作手法下的即时退热效果。方法 将94例患儿按年龄分为清天河水组、取天河水组及打马过天河组，通过测定患儿腋下体温、症状总积分和不良事件积分，评价3组临床疗效和不良反应。结果 治疗后3 h，打马过天河组患儿腋下体温及症状总积分明显低于其他两组（P<0.05），清天河水组、取天河水组患儿腋下体温及症状总积分的差异均无统计学意义（P>0.05）；清天河水组、取天河水组不良事件积分均显著低于打马过天河组（P<0.05）。结论 3种手法均有退热效果，但打马过天河手法的即时退热效果最佳，但易造成皮损，清天河水、取天河水手法安全可靠，退热效果无差异。

Instant Antipyretic Effect of Different Techniques of Massage at Tianheshui Point in Children with Exogenous Disease: A Comparative Analysis

Objective To investigate the instant antipyretic effect of different techniques of massage at Tianheshui point. Methods A total of 94 children were divided into Qingtianheshui group, Qutianheshui group, and Damaguotianhe group according to their age. Axillary temperature, total symptom score, and adverse event score were measured to evaluate clinical outcomes and adverse events. Results After treatment, the Damaguotianhe group had significantly lower axillary temperature and total symptom score than the other two groups (P<0.05), and there were no significant differences in axillary temperature and total symptom score between the Qingtianheshui group and the Qutianheshui group (P>0.05). The Qingtianheshui group and the Qutianheshui group had a significantly lower adverse event score than the Damaguotianhe group (P<0.05). Conclusion All three techniques of massage have an antipyretic effect. The Damaguotianhe technique has the best instant antipyretic effect, but it may cause skin lesion; the Qingtianheshui and Qutianheshui techniques are safe and reliable and have a similar antipyretic effect.