苍耳子散加味治疗小儿腺样体肥大的效果
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摘要
目的探讨苍耳子散加味治疗小儿腺样体肥大(AH)的临床效果。方法选取2015年9月至2017年9月我院50例AH患儿为研究对象并对其进行回顾性研究,根据入院顺序将患儿分为对照组和研究组,各25例。对照组患儿给予西药治疗,研究组患儿在对照组的基础上联合苍耳子散加味治疗,比较两组患儿的临床疗效、治疗前、后的中医证侯评分及A/N值变化。结果研究组治疗总有效率显著高于对照组(P<0.05)。治疗后,两组患儿鼻塞、打鼾、张口呼吸及呼吸暂停症状评分均显著降低,且研究组显著低于对照组(P<0.05);两组患儿的A/N值均显著降低,且研究组低于对照组(P<0.05)。结论苍耳子散加味可有效缩小腺样体,改善患儿的临床症状,疗效确切,在小儿AH的治疗中具有较高的应用价值。
Objective To explore clinical efficacy of modified cocklebur powder in the treatment of infantile adenoidal hypertrophy(AH). Methods A total of 80 children with AH from September 2015 to September 2017 were selected as the study objects to conducted retrospective studies. All children were divided into control group and study group according to the order of visits, with 25 cases in each group. The control group was treated with western medicine, the study group was treated with modified cocklebur powder on the basis of the control group. The clinical efficacy, TCM syndrome scores and changes of A/N value before and after treatment were compared between the two groups. Results The total effective rate of treatment in the study group was obviously higher than that in the control group(P<0.05). After treatment, the symptoms scores of nasal obstruction, snoring, mouth breathing and apnea significantly decreased, and those in the study group were significantly lower than the control group(P<0.05); the A/N value of the two groups significantly decreased, and that in the study group was lower than the control group(P<0.05). Conclusion Modified cocklebur powder can effectively reduce the adenoids, improve the clinical symptoms of children, and the curative effect of which is accurate. It has a higher application value in the treatment of children with AH.
Objective To explore clinical efficacy of modified cocklebur powder in the treatment of infantile adenoidal hypertrophy(AH). Methods A total of 80 children with AH from September 2015 to September 2017 were selected as the study objects to conducted retrospective studies. All children were divided into control group and study group according to the order of visits, with 25 cases in each group. The control group was treated with western medicine, the study group was treated with modified cocklebur powder on the basis of the control group. The clinical efficacy, TCM syndrome scores and changes of A/N value before and after treatment were compared between the two groups. Results The total effective rate of treatment in the study group was obviously higher than that in the control group(P<0.05). After treatment, the symptoms scores of nasal obstruction, snoring, mouth breathing and apnea significantly decreased, and those in the study group were significantly lower than the control group(P<0.05); the A/N value of the two groups significantly decreased, and that in the study group was lower than the control group(P<0.05). Conclusion Modified cocklebur powder can effectively reduce the adenoids, improve the clinical symptoms of children, and the curative effect of which is accurate. It has a higher application value in the treatment of children with AH.
引文
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[2]谷彬,李雪武,张立坤,等.自拟方治疗小儿腺样体肥大的临床分析[J].贵州医药,2016,40(5):505-506.
[3]江载芳.实用小儿呼吸病学[M].北京:人民卫生出版社,2010.
[4]王永钦.中医耳鼻咽喉口腔科学[M].北京:人民卫生出版社,2001.
[5]胡丹霞.清肺通窍方治疗小儿腺样体肥大的疗效观察[J].广东医科大学学报,2014,32(4):473-474.
[6]於志娟.海藻玉壶汤合苍耳子散加减治疗腺样体肥大疗效观察[J].实用中医药杂志,2015,31(11):994-995.
[7]赵彦秋.川芎茶调散合苍耳子散治疗腺样体肥大78例[J].中医临床研究,2017,9(4):118-119.