自拟咽扁解毒饮佐治小儿急乳蛾的临床疗效  

Clinical Effect of Self-made Yanbian Jiedu Decoction in the Treatment of Children with Acute Tonsillitis

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作  者:陈晓妹 王明溪 CHEN Xiaomei;WANG Mingxi(Sanming City Integrated Traditional Chinese and Western Medicine Hospital,Sanming 365000,China;不详)

机构地区:[1]三明市中西医结合医院,福建三明365000

出  处:《中外医学研究》2024年第7期10-14,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘  要:目的:探究自拟咽扁解毒饮佐治小儿急乳蛾的临床疗效。方法:选择2022年6月—2023年5月三明市中西医结合医院收治的80例肺胃热盛型小儿急乳蛾患者。根据随机数表法分为两组,各40例。对照组给予常规西医治疗,观察组在对照组的基础上给予本院自拟咽扁解毒饮治疗。比较两组的治疗总有效率、不良反应发生率、急乳蛾症状体征积分、疼痛评分及疾病相关血液指标。结果:观察组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05)。两组各项不良反应发生率比较,差异无统计学意义(P>0.05)。治疗前,两组急乳蛾症状体征积分、疼痛评分及疾病相关血液指标比较,差异无统计学意义(P>0.05);治疗3 d及7 d后,两组急乳蛾症状体征积分、面部表情评分法(FACES)评分、C反应蛋白(CRP)、白细胞(WBC)均显著低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:自拟咽扁解毒饮佐治肺胃热盛型小儿急乳蛾的临床疗效较好,安全性值得肯定,对机体炎症反应及不适感也有较好的控制作用。Objective:To explore the clinical effect of self-made Yanbian Jiedu Decoction on acute tonsillitis in children.Method:A total of 80 cases with lung and stomach heat excess type acute tonsillitis patients were selected from June 2022 to May 2023 in Sanming City Integrated Traditional Chinese and Western Medicine Hospital.According to the method of random number table,they were divided into two groups,with 40 cases in each group.The control group was given conventional western medicine treatment,and the observation group was given Yanbian Jiedu Decoction prepared by our hospital on the basis of the control group.The total effective rate,incidence of adverse reactions,scores of symptoms and signs of acute tonsillitis,pain scores and disease-related blood indexes were compared between the two groups.Result:The total effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).There were no significant differences in the incidence of adverse reactions between the two groups(P>0.05).Before treatment,there were no significant differences in symptoms and signs scores of acute tonsillitis,pain scores and disease-related blood indexes between the two groups(P>0.05).After 3 d and 7 d of treatment,symptoms and signs scores,faces rating scales(FACES)scores,C-reactive protein(CRP),white blood cells(WBC)in two groups were significantly lower than those before treatment,and observation group were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion:The clinical efficacy and safety of Yanbian Jiedu Decoction for treating children acute tonsillitis with lung and stomach heat excess type is good,and it also has a good control effect on inflammation and discomfort.

关 键 词:自拟咽扁解毒饮 肺胃热盛型 小儿急乳蛾 临床疗效 

分 类 号:R272[医药卫生—中医儿科学]

 

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