首页|苍耳子鼻炎滴丸联合常规治疗儿童慢性鼻窦炎的临床研究

苍耳子鼻炎滴丸联合常规治疗儿童慢性鼻窦炎的临床研究

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目的:探讨苍耳子鼻炎滴丸联合常规治疗儿童慢性鼻窦炎(CRS)的临床疗效及对患儿呼吸功能的影响.方法:选取2021年4月~2022年6月期间于该院耳鼻咽喉科门诊就诊的88例CRS患儿作为研究对象,采用随机数字表法分为对照组(n=43)和观察组(n=45).对照组给予头孢泊肟酯干混悬剂和糠酸莫米松鼻喷雾剂临床常规治疗,观察组在对照组基础上加用苍耳子鼻炎滴丸,两组均持续治疗12周.观察两组患儿视觉模拟评分法(VAS)、鼻炎症状总评分(TNSS)、鼻炎伴随症状总评分(TNNSS)、呼吸功能[第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC、呼气流量峰值(PEF)及最大呼气中期流量(MMEF)]、生化指标[白细胞(WBC)、淋巴细胞(LYM)、嗜酸性粒细胞(EOS)、血清免疫球蛋白E(IgE)]、临床疗效及不良反应发生情况.结果:治疗后,两组患儿VAS、TNSS、TNNSS均降低(P<0.05),且观察组低于对照组(P<0.05);观察组患儿FEV1、FVC、MMEF水平均高于对照组(P<0.05);两组患儿WBC、LYM、EOS、IgE水平均降低(P<0.05),且观察组低于对照组(P<0.05);观察组患儿临床治疗总有效率(95.56%)高于对照组(81.40%,P<0.05);治疗随访期间,两组患儿不良反应发生率比较无统计学差异(P>0.05).结论:苍耳子鼻炎滴丸联合常规治疗可有效调节CRS患儿的呼吸功能及免疫水平,临床疗效较好,且安全性较高.
Clinical Study on Cangerzi Dripping Pills and Conventional Treatment of Chronic Sinusitis in Children
Objective:To explore the clinical efficacy of Cangerzi dripping pills combined with routine treatment of chronic sinusitis(CRS)in children and its effect on respiratory function.Methods:A total of 88 children with CRS who visited the department of otorhinolaryngology in a certain hospital from April 2021 to June 2022 were divided into the control group(n=43)and the observation group(n=45)according to random number table.The control group was treated with cefpodoxime proxetil for suspension and mometasone furoate nasal spray,whereas the observation group was treated with Cangerzi dripping pills in addition to the treatment given in the control group,and both groups were continuously treated for 12 weeks.The visual analog scale(VAS),total nasal symptom score(TNSS),total non-nasal symptom score(TNNSS),respiratory function[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),FEV1/FVC,peak expiratory flow(PEF)and maximal mid-expiratory flow(MMEF)],biochemistry parameters[white blood cells(WBC),lymphocytes(LYM),eosinophils(EOS),serum immunoglobulin E(IgE)],clinical efficacy and occurrence of adverse reactions were observed in the two groups.Results:After treatment,the VAS,TNSS and TNNSS were decreased in both groups(P<0.05),and were lower in the observation group as compared with the control group(P<0.05).The levels of FEV1,FVC and MMEF in the observation group were higher than those in the control group(P<0.05).The levels of WBC,LYM,EOS and IgE were decreased in both groups(P<0.05),and were lower in the observation group as compared with the control group(P<0.05).The total response rate in the observation group(95.56%)was higher than that in the control group(81.40%,P<0.05).During the treatment and follow-up,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Cangerzi dripping pills combined with routine treatment can effectively regulate the respiratory function and immunity level in children with CRS,with significant clinical efficacy and high safety.

Cangerzi dripping pillschildrenchronic sinusitisrespiratory functionclinical efficacy

于博、杨屈扬、芦斐、尹光通

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河南省平顶山市妇幼保健院耳鼻咽喉科,平顶山 467000

河南省儿童医院(郑州儿童医院)耳鼻咽喉头颈外科,郑州 450000

河南省平顶山市妇幼保健院儿童康复科,平顶山 467000

苍耳子鼻炎滴丸 儿童 慢性鼻窦炎 呼吸功能 临床疗效

2024

中国合理用药探索
中国执业药师协会

中国合理用药探索

影响因子:0.62
ISSN:2096-3327
年,卷(期):2024.21(1)
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