中西医结合治疗小儿肺经伏热型鼻鼽临床观察  

Efficacy observation of integrated therapy of traditional Chinese and western medicine on children's allergic rhinitis with syndrome of lung meridian incubating heat

作　　者：吴姗姗 刘成全[1] WU Shan-shan;LIU Cheng-quan(Huai'an Maternity and Child Health Care Hospital,Jiangsu Province,Huai'an223001,China)

机构地区：[1]江苏省淮安市妇幼保健院,淮安223001

出　　处：《山西中医》2023年第12期31-33,共3页Shanxi Journal of Traditional Chinese Medicine

基　　金：第五批全国老中医药专家学术经验继承工作项目。

摘　　要：目的:观察中西医结合治疗小儿鼻鼽的临床疗效。方法:选取符合肺经伏热型小儿鼻鼽患者70例,随机分为两组各35例,对照组予西替利嗪糖浆口服及糠酸莫米松鼻喷雾剂外用,治疗组在对照组治疗基础上予中药煎剂口服,2周后评价两组疗效。结果:治疗组总有效率为91.4%,高于对照组的74.3%,差异有统计学意义(P﹤0.05)。治疗后,两组患儿症状积分、体征积分、IgE、IL-4水平及EOS%值比较,组间差异有统计学意义(P﹤0.05)。结论:中药汤剂联合西替利嗪糖浆及糠酸莫米松鼻喷雾剂能更好地减轻患儿炎症反应,改善症状及体征,临床疗效优于单纯西药治疗。Objective:To observe the clinical efficacy of integrated therapy of traditional Chinese and western medicine on children's allergic rhinitis.Methods:70 cases of children patients with allergic rhinitis with syndrome of lung meridian incubating heat were randomly divided into two groups,35 cases in each group.The control group was treated with oral cetirizine syrup and mometasone furoate nasal spray for external application,while the treatment group was treated plus with oral TCM decoction on the basis of control group.The clinical efficacy was evaluated in two groups after two weeks.Results:The total effective rate of treatment group was 91.4%,which was higher than 74.3%of control group,and the difference was statistically significant(P﹤0.05).After treatment,the scores of symptoms and physical signs,the levels of IgE,IL-4 and the value of EOS%of children patients were compared between two groups,the differences were statistically significant(P﹤0.05).Conclusion:TCM decoction and cetirizine syrup and mometasone furoate nasal spray can better alleviate the inflammatory reaction of children patients,improve the symptoms and physical signs,and the clinical efficacy is better than that of simple western medicine.

关 键 词：鼻鼽 儿童 肺经伏热 中西医结合疗法 

分 类 号：R276.1[医药卫生—中医五官科学]