中医序贯疗法对急性鼻渊鼻黏膜传输功能的作用  

The effect of nasal mucociliary of TCM seguential therapy treament of acute rhinosinutitis

作　　者：刘娇媚[1] 孙书臣[1] 赵莹莹[1] 汪玉娇[1] 常远[1] 郭婵娟[1] 

机构地区：[1]中国中医科学院广安门医院南区,北京100026

出　　处：《陕西中医》2018年第2期229-231,共3页Shaanxi Journal of Traditional Chinese Medicine

基　　金：北京市科学技术委员会首都市民健康项目(Z131100004013015)

摘　　要：目的:观察中医鼻病序贯疗法对急性鼻窦炎鼻黏膜传输功能的影响。方法:以66例肺经风热型急性鼻窦炎患者为实验人群,随机将其分为两组,每组33例。序贯疗法组采用煎煮中药蒸汽熏蒸鼻腔联合口服,2次/d,治疗2周;口服汤药组采用与序贯疗法组相同的汤药煎药口服,2次/d,早晚各1次,治疗周期为2周,在治疗的过程中,在第0、7、14天进行糖精球实验,填写鼻塞视觉模拟量表(VAS),从而对鼻黏膜纤毛传输时间(MTT)、鼻塞VAS评分进行治疗前后的对比。结果:两组病例MTT评分组间效应、时间效应、组间与时间交互效应的F值为2.604、253.121、15.704,P值为0.111、0.000、0.000;两组病例鼻塞VAS评分组间效应、时间效应、组间与时间交互效应的F值为7.242、106.200、8.480,P值为0.009、0.000、0.000。两组病例鼻黏膜纤毛传输时间(MTT)和鼻塞VAS评分都有随时间变化的趋势,其中序贯组下降速度高于中药组,差异具有显著性(P值分别为0.000、0.000)。结论:序贯疗法组、口服汤药组在治疗急性鼻窦炎上均取得了满意疗效,对鼻黏膜传输功能具有改善的作用。序贯疗法组的改善程度及疗效优于口服汤药组。Objective:To study the effect of nasal mucociliary of TCM.Method:66 cases with acute sinusitis patients with hot wind as the experimental group,it was divided into 2 groups randomly,each group of 33.Sequential therapy(Oral steaming with Chinese herbal medicine steaming and oral administration,two times a day,for 2 weeks)group 33 cases,traditional Chinese medicine(drinking the same herbal medicine as the Sequential therapy group twice daily for two weeks)group 33 cases.On day 0,day 7,day 14,carry out the saccharin test,record the nasal obstruction visual analogue scale.Results:Two groups of patients MTT score between group effect,time effect,and the interaction time between groups F-measure were 2.604,253.121,15.704,Pvalue was 0.111,0,0;two cases of nasal VAS score between group effect,time effect,and the interaction time between groups was 7.242,106.200,F-measure 8.480,the P value was 0.009,0,0.In the two groups of cases in the nasal obstruction visual analogue scale,and mucociliary transport time has a trend of deline over time,the rate of decline of sequential therapy group was higher than that of traditional Chinese medicine group,the difference was significant.The P values were 0.000 and 0.000.Conclusion:Sequential therapy group,traditional Chinese medicine group had achieved a satisfactory efficacy in the treatment of acute sinusitis,nasal mucosa has improved effect on transmission function.Sequential therapy group improved degree and the curative effect is better than that of traditional Chinese medicine group.

关 键 词：鼻窦炎/中医药疗法 @中医序贯疗法 @糖精实验 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]