培元通窍汤联合穴位贴敷治疗儿童变应性鼻炎的疗效观察  

Effect of Peiyuantongqiao Decoction Combined with the acupoint application in treating the allergic rhinitis in children

作　　者：陈艳洋[1] 邓丽莎[1] 曾莺[1] 赵佳烨 

机构地区：[1]广东省佛山市中医院儿科,广东佛山528000

出　　处：《广东医科大学学报》2017年第3期317-319,共3页Journal of Guangdong Medical University

摘　　要：目的观察培元通窍汤联合穴位贴敷对儿童变应性鼻炎的疗效。方法变应性鼻炎患儿64例,按照随机数字表法随机分为对照组和观察组,每组32例。对照组给予布地奈德喷雾剂进行鼻孔喷雾、氯雷他定糖浆口服;观察组在对照组的基础上,在第2周停用鼻内激素布地奈德,给予培元通窍汤联合穴位贴敷治疗。均连续治疗4周。比较两组患儿临床表现改善情况以及鼻痒、喷嚏和鼻分泌亢进缓解所需时间,采用中医证候评分评价总体疗效,记录两组患儿不良反应发生情况。随访3个月,观察两组患者复发情况。结果观察组和对照组的总体疗效差异有统计学意义(Hc=5.645,P<0.05)。观察组喷嚏、鼻痒和流涕缓解所需时间均短于对照组(P<0.01)。观察组和对照组不良反应发生率分别为9.4%、15.6%,差异无统计学意义(P>0.05)。随访3个月,观察组和对照组复发率分别为12.5%、56.2%,差异有统计学意义(P<0.01)。结论培元通窍汤联合穴位贴敷治疗儿童变应性鼻炎,在缓解临床症状、缩短病程方面有效,且其安全方便,能够降低变应性鼻炎复发率。Objective To investigate the effect of the Peiyuantongqiao Decoction in treating the allergic rhinitis （AR） in children. Methods 64 sick children were divided into Control Group and Observation Group by random number table, 32 cases in each group. Patients in Control Group were given nasal spray of budesonide aerosol and oral administration of loratadine syrup; On the basis of the treatment for Control Group, after the withdrawal of budesonide in the second week, Observation Group was treated with the Peiyuantongqiao Decoction combined with the acupoint application. The improvement of clinical manifestations and the time needed to relieve major symptoms including rhinocnesmus, running nose and sneezing were observed. Overall efficacy was evaluated with TCM syndrome evaluation and the adverse reactions of the two groups were recorded. After 3-month follow-up, the recurrence was observed as well. Results The overall curative effect of Observation Group and Control Group was statistically different （Hc=5.645, P〈0.05）; The time for relieving major symptoms like the rhinocnesmus, running nose and sneezing in Observation Group was shorter than Control Group, and the difference was the statistically significant （P〈0.01）. Moreover, the incidence of adverse reactions in Control Group and Observation Group was 9.4% and 15.6%, respectively, and there was no statistical difference （P〉0.05）. After a 3-month follow-up, the incidence of adverse reactions in Control Group and Observation Group was 12.5% and 56.2%, respectively, and there was statistical difference （P〈0.01）. Conclusion the treatment of AR is effective in improving improve the reduce the recurrence rate of AR. Peiyuantongqiao Decoction combined with acupoint application for signs and symptoms and shortening the disease course and can also

关 键 词：通窍汤 变应性鼻炎 穴位贴敷 

分 类 号：R272.6[医药卫生—中医儿科学]