刘羽，李英

（湖南中医药大学第一附属医院，湖南长沙410007）

如意金黄散合用矾冰液外敷治疗小儿流行性腮腺炎的临床护理观察

刘羽，李英

（湖南中医药大学第一附属医院，湖南长沙410007）

目的观察如意金黄散合用矾冰液外敷治疗小儿流行性腮腺炎的临床护理疗效。方法回归分析2014年1月～2014年12月期间我院接收的68例流行性腮腺炎患儿，随机分为对照组（常规治疗+如意金黄散）和观察组（常规治疗+如意金黄散合用矾冰液）各34例，比较两组患者的有效率、退热时间和消肿时间。结果对照组有效率91.2%，退热时间（3.1± 1.4）d，消肿时间（4.0±1.1）d；观察组有效率97.1%，退热时间（2.5±1.3）d，消肿时间（3.5±1.2）d，观察组有效率、退热时间、消肿时间明显优于对照组（P＜0.05）。结论如意金黄散合用矾冰液外敷治疗小儿流行性腮腺炎较单用如意金黄散具有退热快、消肿时间短、有效率高的优势。

腮腺炎；如意金黄散；矾冰液；外敷

〔Abstract〕Objective To investigate the effect of external application Ruyi Jinhuang powder on children with mumps，and improve the clinical treatment and nursing efficacy.M ethods The 68 cases of children with mumps from January 2014 to December 2014 in our hospital were given Regression analysis.The children were random ly divided into control group（conventional treatment add Ruyi Jinhuang powder）and observation group（conventional treatment add Ruyi Jinhuang powder combine Fanbing liquid），34 cases in each group.The efficient，antifebrile and swelling time of two groups were compared. Results The effective rate，antifebrile time and swelling time of control group were 91.2%，（3.1±1.4）d and（4.0±1.1）d，respectively.While，the corresponding indicators in observation group were 97.1%，（2.5±1.3）d and（3.5±1.2）d.Therefore，the effective rate，antifebrile time and swelling time were obviously better than the control group（P＜0.05）.Conclusion The external appliaction of Ruyi Jinhuang powder combined with Fanbing liquid on treatment of children with mumps was with the advantages of more quickly abatement of fever fever，shorter swelling time，higher effective rate than the only Ruyi Jinhuang powder.

〔Keywords〕mumps；Ruyi Jinhuang powder；Fanbing liquid；external application

流行性腮腺炎又称为“痄腮”，为急性呼吸道传染病，好发于儿童及青少年，其临床特征：腮腺非化脓性肿痛、发热，咀嚼受限，并可累及肾脏、胰腺、关节、脑、生殖器官等。中医学认为“痄腮”是风热疫毒从口鼻侵袭体内，疫毒与气血互结，郁而不通，郁积少阳，壅滞于腮部，引腮腺生炎症，腮肿痛为主症，属实邪之症，临床治疗常用清热解毒、消肿止痛之法。如意金黄散由姜黄、大黄、苍术、黄柏、生天南星、陈皮、厚朴、白芷、天花粉、甘草十味中药组成，为临床上疗效确切的清热解毒、消肿止痛的外敷方，治疗腮腺炎具有较好疗效，但是病程较长。……