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小针刀联合中药治疗小儿慢性扁桃体肿大的临床观察

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目的 观察使用小针刀联合中药治疗小儿慢性扁桃体肿大的临床效果。方法 选取2021年1月至2022年1月柳州市妇幼保健院门诊收治的符合入组条件的90例患儿作为研究对象,按照随机数表法将其分为小针刀联合中药组(n=30)、小针刀组(n=30)、中药组(n=30),分别采取小针刀联合中药治疗、小针刀治疗、中药治疗。观察治疗前后症状积分、扁桃体缩小程度及1年内复发例数。结果 小针刀联合中药组总有效率为86。67%,小针刀组为76。67%,中药组为70。00%,小针刀联合中药组总有效率高于小针刀组和中药组,差异有统计学意义(P<0。05)。治疗后,三组症状积分比较,差异有统计学意义(P<0。05)。小针刀联合中药组治疗后的症状积分改善明显,差异有统计学意义(P<0。05)。随访1年,小针刀联合中药组治疗后扁桃体炎发作的例数也减少。结论 小针刀联合中药治疗慢性扁桃体肿大较单纯小针刀或中药治疗在改善患儿症状积分,缩小扁桃体,减少扁桃体炎发作方面更优。
Clinical observation on the treatment of chronic tonsillar enlargement in children with small needle knife and traditional Chinese medicine
Objective To observe the clinical efficacy of using small needle knife and traditional Chinese medicine in the treatment of chronic tonsillar enlargement in children.Methods A total of 90 eligible outpatient patients from Liuzhou Maternal and Child Healthcare Hospital from January 2021 to January 2022 were divided into a small needle knife and traditional Chinese medicine group(n=30),a small needle knife group(n=30),and a traditional Chinese medicine group(n=30)using a random number table method.They were treated with small needle knife and traditional Chinese medicine,small needle knife,and traditional Chinese medicine,respectively.Symptom scores,degree of tonsil shrinkage,and number of recurrent cases within one year before and after treatment were observed.Results The total effective rate of the small needle knife and traditional Chinese medicine group was 86.67%,the small needle knife group was 76.67%,and the traditional Chinese medicine group was 70.00%.The total effective rate of the small needle knife and traditional Chinese medicine group was higher than that of the traditional Chinese medicine group and the small needle knife group,and the difference was statistically significant(P<0.05).After treatment,the symptom scores of the three groups were compared,and the difference was statistically significant(P<0.05).The symptom scores of the small needle knife and traditional Chinese medicine treatment group improved significantly before and after treatment,and the difference was statistically significant(P<0.05).After one year of follow-up,the number of cases of tonsillitis attacks after treatment in the small needle knife and traditional Chinese medicine group also decreased.Conclusion The treatment of chronic tonsillar enlargement with small needle knife and traditional Chinese medicine is better than that with simple needle knife or traditional Chinese medicine in improving the symptom score of children,narrowing tonsils and reducing the incidence of tonsillitis.

Tonsillar enlargementSmall needle knifeTraditional Chinese medicineChildren

王娟、汪玉洁、王蓓

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广西壮族自治区柳州市妇幼保健院中医科,广西柳州 545001

扁桃体肿大 小针刀 中药 小儿

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(19)