艾灸联合白三烯受体拮抗剂治疗儿童腺样体肥大的疗效  

Effect of Moxibustion Combined with Leukotriene Receptor Antagonist in Treating Adenoid Hypertrophy Children

作　　者：胡薇[1] 李瑞 胡竞 赵娜[1] 武文娟 刘娜[1] HU Wei;LI Rui;HU Jing(Department of Acupuncture,Shaanxi Provincial People's Hospital,Xi'an Shaanxi 710068)

机构地区：[1]陕西省人民医院针灸科,陕西西安710068 [2]陕西省人民医院儿科,陕西西安710068

出　　处：《医学临床研究》2023年第7期1060-1062,共3页Journal of Clinical Research

摘　　要：【目的】探讨艾灸联合白三烯受体拮抗剂治疗儿童腺样体肥大的疗效。【方法】本院收治的82例腺样体肥大患儿,随机分为两组,每组41例。观察组采用艾灸联合白三烯受体拮抗剂治疗,对照组采用白三烯受体拮抗剂治疗。比较两组患儿鼻塞消失时间、睡眠恢复时间、听力恢复时间、呼吸恢复时间,治疗前与治疗后3个月的阻塞性睡眠呼吸暂停-18量表(OSA-18)评分,临床疗效以及患者并发症发生情况。【结果】观察组患儿鼻塞消失时间、睡眠恢复时间、听力恢复时间、呼吸恢复时间均短于对照组(P<0.05);两组患儿在治疗3个月后OSA-18评分均降低(P<0.05),且观察组低于对照组(P<0.05);观察组的总有效率为92.68%(38/41),高于对照组的73.17%(30/41),且两组比较差异有统计学意义(P<0.05);两组并发症总发生率比较,差异无统计学意义(P>0.05)。【结论】艾灸联合白三烯受体拮抗剂治疗儿童腺样体肥大有利于促进患者康复,改善患者的阻塞性睡眠呼吸暂停症状,提高患者的治疗效果,且不增加并发症发生率。【Objective】To investigate the therapeutic effect of moxibustion combined with leukotriene receptor antagonist in the treatment of adenoid hypertrophy children.【Methods】Eighty-two children with adenoid hypertrophy admitted to our hospital were randomly divided into two groups,with 41 children in each group.The observation group was treated with moxibustion combined with leukotriene receptor antagonist,while the control group was treated with leukotriene receptor antagonist alone.The disappearance time of nasal congestion,the recovery time of sleeping,hearing,and breathing in the two groups of children,the Obstructive Sleep Apnea-18(OSA-18)score before treatment and 3 months after treatment,clinical efficacy,and the occurrence of complications were compared.【Results】The disappearance time of nasal congestion,the sleep recovery time,hearing recovery time,and breathing recovery time in the observation group were all shorter than those in the control group(P<0.05).The OSA-18 scores of children in both groups decreased 3 months after treatment(P<0.05),while the OSA-18 score in the observation group was lower than that in the control group(P<0.05).The total effective rate of the observation group was 92.68%(38/41),which was higher than that of the control group 73.17%(30/41);And the difference between the two groups was statistically significant(P<0.05).There was no statistical significance in the total incidence of complications between the two groups(P>0.05).【Conclusion】Moxibustion combined with leukotriene receptor antagonist treatment of childhood adenoid hypertrophy is conducive to promoting the rapid recovery of patients,improving the symptoms of obstructive sleep apnea in patients,and enhancing the treatment effect of patients,while it does not increase the incidence rate of complications.

关 键 词：腺样体肥大/中西医结合疗法 儿童 白三烯类 治疗结果 

分 类 号：R764.92[医药卫生—耳鼻咽喉科]