小针刀联合中药治疗小儿慢性扁桃体肿大的临床观察  

Clinical observation on the treatment of chronic tonsillar enlargement in children with small needle knife and traditional Chinese medicine

作　　者：王娟 汪玉洁 王蓓 WANG Juan;WANG Yujie;WANG Bei(Traditional Chinese Medicine Department,Liuzhou Maternity and Child Healthcare Hospital,Guangxi,Liuzhou 545001,China)

机构地区：[1]广西壮族自治区柳州市妇幼保健院中医科,广西柳州545001

出　　处：《中国医药科学》2024年第19期106-109,155,共5页China Medicine And Pharmacy

基　　金：广西壮族自治区中医药管理局自筹经费科研项目(GZZC2020367);中国妇幼保健协会-华润三九中医中西医结合妇幼健康专项研究基金(ZXY2020B10)。

摘　　要：目的观察使用小针刀联合中药治疗小儿慢性扁桃体肿大的临床效果。方法选取2021年1月至2022年1月柳州市妇幼保健院门诊收治的符合入组条件的90例患儿作为研究对象,按照随机数表法将其分为小针刀联合中药组(n=30)、小针刀组(n=30)、中药组(n=30),分别采取小针刀联合中药治疗、小针刀治疗、中药治疗。观察治疗前后症状积分、扁桃体缩小程度及1年内复发例数。结果小针刀联合中药组总有效率为86.67%,小针刀组为76.67%,中药组为70.00%,小针刀联合中药组总有效率高于小针刀组和中药组,差异有统计学意义(P<0.05)。治疗后,三组症状积分比较,差异有统计学意义(P<0.05)。小针刀联合中药组治疗后的症状积分改善明显,差异有统计学意义(P<0.05)。随访1年,小针刀联合中药组治疗后扁桃体炎发作的例数也减少。结论小针刀联合中药治疗慢性扁桃体肿大较单纯小针刀或中药治疗在改善患儿症状积分,缩小扁桃体,减少扁桃体炎发作方面更优。Objective To observe the clinical efficacy of using small needle knife and traditional Chinese medicine in the treatment of chronic tonsillar enlargement in children.Methods A total of 90 eligible outpatient patients from Liuzhou Maternal and Child Healthcare Hospital from January 2021 to January 2022 were divided into a small needle knife and traditional Chinese medicine group(n=30),a small needle knife group(n=30),and a traditional Chinese medicine group(n=30)using a random number table method.They were treated with small needle knife and traditional Chinese medicine,small needle knife,and traditional Chinese medicine,respectively.Symptom scores,degree of tonsil shrinkage,and number of recurrent cases within one year before and after treatment were observed.Results The total effective rate of the small needle knife and traditional Chinese medicine group was 86.67%,the small needle knife group was 76.67%,and the traditional Chinese medicine group was 70.00%.The total effective rate of the small needle knife and traditional Chinese medicine group was higher than that of the traditional Chinese medicine group and the small needle knife group,and the difference was statistically significant(P<0.05).After treatment,the symptom scores of the three groups were compared,and the difference was statistically significant(P<0.05).The symptom scores of the small needle knife and traditional Chinese medicine treatment group improved significantly before and after treatment,and the difference was statistically significant(P<0.05).After one year of follow-up,the number of cases of tonsillitis attacks after treatment in the small needle knife and traditional Chinese medicine group also decreased.Conclusion The treatment of chronic tonsillar enlargement with small needle knife and traditional Chinese medicine is better than that with simple needle knife or traditional Chinese medicine in improving the symptom score of children,narrowing tonsils and reducing the incidence of tonsillitis.

关 键 词：扁桃体肿大 小针刀 中药 小儿 

分 类 号：R276.1[医药卫生—中医五官科学]