清肺散结汤联合普济消毒饮治疗小儿腺样体肥大临床观察  

Clinical Observation of Qingfei Sanjie Tang Combined with Puji Xiaodu Yin for Adenoid Hypertrophy in Children

作　　者：杨永庆[1] 石宗珂[2] 

机构地区：[1]天水市卫生学校,甘肃天水741000 [2]甘肃省中医院,甘肃兰州730050

出　　处：《新中医》2018年第2期81-83,共3页New Chinese Medicine

摘　　要：目的:观察清肺散结汤联合普济消毒饮治疗小儿腺样体肥大的临床疗效。方法:选取93例腺样体肥大患儿,随机分为对照组46例与观察组47例。对照组予清肺散结汤免煎颗粒治疗,观察组在对照组用药基础上联合普济消毒饮治疗,2组均连续治疗15天。评估治疗效果,记录2组睡中打鼾、鼻塞、张口呼吸、耳鸣消失时间,比较2组治疗前后腺样体体积,统计不良反应。结果:观察组治疗总有效率91.49%,对照组治疗总有效率76.09%,2组比较,差异有统计学意义(P<0.05)。观察组睡中打鼾、鼻塞、张口呼吸、耳鸣消失时间均短于对照组,差异均有统计学意义(P<0.05)。治疗前,2组腺样体体积比较,差异无统计学意义(P>0.05)。治疗后,2组腺样体体积均较治疗前缩小(P<0.05);观察组腺样体体积小于对照组(P<0.05)。观察组不良反应发生率10.64%,对照组不良反应发生率6.52%,2组比较,差异无统计学意义(P>0.05)。结论:清肺散结汤联合普济消毒饮治疗小儿腺样体肥大效果显著,可有效改善患儿的症状,缩小腺样体体积,安全性较高。Objective： To observe the clinical effect of Qingfei Sanjie tang combined with Puji Xiaodu yin for adenoid hypertrophy in children. Methods：Selected 93 cases of children with adenoid hypertrophy,and divided them into the control group being 46 cases and the observation group being 47 cases randomly. Both groups received treatment of single herbal concentrate-granules of Qingfei Sanjie tang,while the observation group additionally received Puji Xiaodu yin. Treatment of both groups lasted 15 days. Evaluated the clinical effect,recorded the disappearance time of symptoms in both groups such as snoring, nasal obstruction,mouth breathing and tinnitus, compared the volume of adenoid after treatment with those before treatment in the two groups, and statistically analyzed the adverse reactions in both groups. Results： The total effective rate was 91.49% in the observation group and 76.09% in the control group, the difference being significant（P〈0.05）. The disappearance time of symptoms including snoring, nasal obstruction, mouth breathing and tinnitus in the observation group was all shorter than that in the control group,difference being significant（P〈0.05）. Before treatment,the volume of adenoid of both group were compared,difference being insignificant（P〉0.05）. After treatment, the volume of adenoid in both groups was smaller than that before treatment（P〈0.05）;the volume of adenoid in the observation group was smaller than that in the control group（P〈0.05）. Incidence of adverse reaction was 10.64% in the observation group and 6.52%in the control group,the difference being not significant（P〉0.05）. Conclusion：Qingfei Sanjie tang combined with Puji Xiaodu yin has significant effect in the treatment of adenoid hypertrophy in children, and it can release the symptoms of children patients as well as improve symptoms with high safety.

关 键 词：腺样体肥大 清肺散结汤 普济消毒饮 腺样体体积 

分 类 号：R729[医药卫生—儿科]