谢氏刺营微创疗法联合西药治疗小儿急性扁桃体炎  

Xie′s acupuncture bloodletting minimally invasive therapy combined with western medicine in the treatment of children with acute tonsillitis

作　　者：程均[1] 刘新娟[2] 姚娟 CHENG Jun;LIU Xinjuan;YAO Juan(Department of Pediatrics,Pingxiang People's Hospital,Jiangxi Province,Pingxiang337000,China;Department of Traditional Chinese Medicine,Pingxiang People's Hospital,Jiangxi Province,Pingxiang337000,China)

机构地区：[1]江西省萍乡市人民医院儿科,江西萍乡337000 [2]江西省萍乡市人民医院中医科,江西萍乡337000

出　　处：《中国当代医药》2024年第16期108-111,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2022A010)。

摘　　要：目的探讨谢氏刺营微创疗法联合西药治疗小儿急性扁桃体炎(AT)的临床效果。方法选取2021年8月至2023年8月萍乡市人民医院收治的104例AT患儿作为研究对象,采用随机数字表法分为对照组(52例)和观察组(52例)。对照组采用常规西药治疗,观察组在对照组方法的基础上加用谢氏刺营微创疗法治疗,比较两组的临床疗效、中医证候积分、实验室指标、临床症状改善情况及不良反应。结果观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。两组患儿治疗前的中医证候积分及C反应蛋白(CRP)、中性粒细胞百分比(N%)、白细胞(WBC)、降钙素原(PCT)水平比较,差异无统计学意义(P>0.05);观察组治疗后的中医证候积分及CRP、N%、WBC、PCT水平均低于对照组,差异有统计学意义(P<0.05)。观察组的发热、扁桃体肿大、咽痛消失时间均短于对照组,差异有统计学意义(P<0.05)。两组均未见明显不良反应。结论谢氏刺营微创疗法联合西药治疗小儿AT效果较佳,利于改善临床症状,促进症状消退,减轻炎症反应,安全性好,值得推广。Objective To explore the clinical effect of Xie's acupuncture bloodletting minimally invasive therapy combined with western medicine in the treatment of children with acute tonsillitis(AT).Methods A total of 104 children with AT admitted to Pingxiang People's Hospital from August 2021 to August 2023 were selected as the research objects,and they were divided into control group(52 cases)and observation group(52 cases)by random number table method.The control group was treated with western medicine,and the observation group was treated with Xie's acupuncture bloodletting minimally invasive therapy on the basis of the control group.The clinical efficacy,traditional Chinese medicine syndrome score,laboratory indexes,improvement of clinical symptoms and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There were no statistically significant differences in traditional Chinese medicine syndrome scores,C-reactive protein(CRP),neutrophil percentage(N%),white blood cell(WBC),and procalcitonin(PCT)levels between the two groups before treatment(P>0.05).After treatment,the traditional Chinese medicine syndrome scores,CRP,N%,WBC and PCT levels of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The disappearance time of fever,tonsillar swelling and sore throat in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There were no obvious adverse reactions in the two groups.Conclusion Xie's acupuncture bloodletting minimally invasive therapy combined with western medicine is effective in the treatment of children with AT,which is conducive to improving clinical symptoms,promoting the disappearance of symptoms,reducing inflammatory reaction,and has good safety,which is worthy of promotion.

关 键 词：小儿急性扁桃体炎 谢氏刺营微创疗法 西药 临床疗效 中医证候积分 实验室指标 

分 类 号：R246.4[医药卫生—针灸推拿学] R725.6[医药卫生—中医临床基础]