苍耳散结汤结合刮痧点刺法治疗小儿腺样体肥大(毒热瘀结型)临床疗效观察  

Clinical Effect of Canger Sanjie Decoction(苍耳散结汤)Combined with Scraping and Prickling in Treatment of Adenoid Hypertrophy(Toxin-Heat-Blood Stasis Type)

作　　者：张源 王艳[1] ZHANG Yuan;WANG Yan(Sanya Hospital of Traditional Chinese Medicine,Sanya 572000,Hainan,China)

机构地区：[1]三亚市中医院,海南三亚572000

出　　处：《中华中医药学刊》2022年第4期207-210,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：海南省自然科学基金面上项目(20168340)。

摘　　要：目的探究苍耳散结汤结合刮痧点刺法治疗小儿腺样体肥大(毒热瘀结型)临床疗效。方法纳入82例小儿腺样体肥大(毒热瘀结型),均由医院2019年1月—2020年5月收治,以随机数字表法将纳入患儿分成两组,各组41例患儿,予以对照组患儿匹多莫德分散片、糠酸莫米松鼻喷雾剂及盐酸赛洛唑啉鼻用喷雾剂治疗,观察组患儿治疗方法同对照组,同时结合苍耳散结汤及刮痧点刺法治疗,比较各组患儿治疗效果、治疗前后患儿中医症状(鼻塞流涕、张口呼吸、睡时打鼾、咽喉不适、耳内闷胀等)积分变化、患儿鼻塞、张口呼吸、睡时打鼾及耳鸣等症状消失时间、治疗前后患儿腺样体和鼻咽腔比率(A/N)变化、治疗前后患者生活质量(OSA-18)量表评分变化、治疗不良反应情况及治疗1年后两组患儿复发率等数据。结果与观察组患儿(97.56%,40/41)对比,对照组患儿治疗总有效率(82.93%,34/41)较低(P<0.05);治疗前,两组患儿中医症状(鼻塞流涕、张口呼吸、睡时打鼾、咽喉不适、耳内闷胀等)积分、A/N比值、OSA-18评分比较,P>0.05,治疗后各组患儿中医症状(鼻塞流涕、张口呼吸、睡时打鼾、咽喉不适、耳内闷胀等)积分、A/N比值、OSA-18评分均改善,观察组患儿治疗后中医症状(鼻塞流涕、张口呼吸、睡时打鼾、咽喉不适、耳内闷胀等)积分、A/N比值、OSA-18评分均优于对照组患儿(P<0.05);观察组患儿鼻塞、张口呼吸、睡时打鼾及耳鸣等症状消失时间比对照组患儿短(P<0.05);观察组与对照组患儿不良反应率分别为(7.32%,3/41)、(4.88%,2/41),均较低,不处理可自行缓解,P>0.05;观察组患儿1年疾病复发率(0.00%)低于对照组患儿(9.76%,4/41),P<0.05。结论苍耳散结汤结合刮痧点刺法治疗小儿腺样体肥大(毒热瘀结型)临床疗效显著,患儿中医症状缓解,恢复快,生活质量改善,不良反应少,复发率低,安全可靠,值得应用。Objective To explore the clinical effect of Canger Sanjie Decoction(苍耳散结汤)combined with the method of scraping and pricking in the treatment of adenoid hypertrophy in children(toxin-heat-blood stasis type).Methods Eighty-two cases of children with adenoid hypertrophy(toxin-heat-blood stasis type)type)in the hospital from January 2019 to May 2020 were selected.According to the random number table method,they were divided into two groups,41 cases in each group.Children in the control group were treated with Pidotimod Dispersible Tablets,Mometasone Furoate Nasal Spray and Xylometazoline Hydrochloride Nasal Spray.The treatment of the observation group was the same as the control group.At the same time,the treatment was combined with Canger Sanjie Decoction and scraping and pricking therapy.Before and after treatment,the integral changes of children's TCM symptoms(nasal obstruction and runny nose,open mouth breathing,snoring during sleep,throat discomfort,stuffy swelling in ears,etc.),the disappearance time of children's symptoms such as nasal obstruction,open mouth breathing,snoring during sleep and tinnitus,the changes of adenoid and nasopharyngeal ratio(A/N)before and after treatment,the scores of patients'quality of life(OSA-18)before and after treatment,adverse reactions and recurrence rate of children in the two groups after 1 year of treatment were compared.Results Compared with that of the observation group(97.56%,40/41),the total effective rate of the control group(82.93%,34/41)was lower(P<0.05).Before treatment,the comparison of scores,A/N ratio and OSA-18 scores of TCM symptoms(nasal obstruction and runny nose,mouth breathing,snoring while sleeping,throat discomfort,swelling in the ear,etc.)between the two groups showed no difference(P>0.05).After treatment,TCM symptoms score(nasal obstruction and runny nose,mouth breathing,snoring while sleeping,throat discomfort,swelling in ear,etc.),A/N ratio and OSA-18 score were all improved in each group.After treatment,the scores of TCM symptoms(nasal obstr

关 键 词：小儿腺样体肥大 毒热瘀结型 苍耳散结汤 刮痧点刺法 疗效 A/N比值 

分 类 号：R244.3[医药卫生—针灸推拿学] R276.166.3[医药卫生—中医临床基础]