首页|小儿扁腺方治疗痰瘀互结型儿童腺样体肥大临床观察

小儿扁腺方治疗痰瘀互结型儿童腺样体肥大临床观察

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目的:观察小儿扁腺方治疗痰瘀互结型腺样体肥大患儿的临床疗效.方法:将84例痰瘀互结型腺样体肥大患儿随机分为两组各42例.对照组予糠酸莫米松喷雾剂喷鼻,治疗组在对照组基础上联合小儿扁腺方口服,疗程均为4周.观察两组治疗前后中医各证候积分、OSA-18量表评分,观察腺样体侧位片A/N比值的改善情况及两组临床疗效.结果:治疗组临床总有效率95.24%明显高于对照组的78.57%(P<0.05);治疗后,两组患儿各单项症状积分及症状总积分均较治疗前明显下降(P<0.01),两组患儿OSA-18量表评分较治疗前明显下降,且治疗组评分显著低于对照组(P<0.01);两组患儿腺样体体积分度为正常、轻度例数较治疗前明显增多,重度级例数较治疗前明显减少(P<0.01),且治疗组腺样体体积改善明显优于对照组(P<0.01).结论:小儿扁腺方联合糠酸莫米松喷雾剂治疗儿童腺样体肥大临床疗效较好,可减轻症状,缩小腺样体体积.
Efficacy observation of Xiaoer Bianxian formula on children's adenoid hypertrophy with syndrome of intermingled phlegm and blood stasis
Objective:To observe the clinical efficacy of Xiaoer Bianxian formula on children's adenoid hypertrophy with syndrome of intermingled phlegm and blood stasis.Methods:84 cases of children patients with adenoid hypertrophy with syndrome of intermingled phlegm and blood stasis were randomly divided into 2 groups,42 cases in each group.The control group was treated with mometasone furoate nasal spray,while the treatment group was treated plus with oral Xiaoer Bianxian formula on the basis of control group.For both groups,the course of treatment was 4 weeks.The scores of TCM various symptoms and scores of OSA-18 scale were observed in two groups before and after treatment.The improvement of A/N ratio of adenoidal lateral radiographs and the clinical efficacy were evaluated in two groups.Results:The clinical total effective rate of treatment group was 95.24%,which was significantly higher than 78.57%of control group.After treatment in two groups of children patients:the single score of each symptom and total scores of symptoms were significantly decreased compared with before treatment(P<0.01);the scores of OSA-18 scale were significantly decreased compared with before treatment,and the scores of treatment group were significantly lower than those of control group(P<0.01);the number of cases that the grade of adenoid volume was normal and mild degree was increased significantly compared with before treatment,while the number of cases of severe degreed was decreased significantly compared with before treatment(P<0.01);and the improvement of adenoid volume of treatment group was significantly better than that of control group(P<0.01).Conclusion:The clinical efficacy of Xiaoer Bianxian formula and mometasone furoate nasal spray on children's adenoid hypertrophy with syndrome of intermingled phlegm and blood stasis is better,which can alleviate symptoms and shrink the volume of adenoids.

adenoid hypertrophysyndrome of intermingled phlegm and blood stasisXiaoer Bianxian formulatherapy of TCM

黄楚、郑越文、韩秀丽

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山东中医药大学(济南250013)

山东中医药大学附属医院

腺样体肥大 痰瘀互结 小儿扁腺方 中医药疗法

2024

山西中医
山西省中医药学会 山西中医药研究院

山西中医

影响因子:0.59
ISSN:1000-7156
年,卷(期):2024.40(1)
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