穴位贴敷辅助短波紫外线治疗小儿急性化脓性扁桃体炎临床观察  

Effect of acupoint application assisted by shortwave ultraviolet therapy on acute suppurative tonsillitis in children

作　　者：刘梦奇 刘小松 Liu Mengqi;Liu Xiaosong(Pingxiang Maternal and Child Health Hospital,Jiangxi 337000)

机构地区：[1]萍乡市妇幼保健院,江西337000

出　　处：《天津药学》2024年第5期44-47,共4页Tianjin Pharmacy

摘　　要：目的:探讨短波紫外线联合穴位贴敷在小儿急性化脓性扁桃体炎中的治疗效果。方法:采用前瞻性随机对照研究,选择2022年1月—2023年8月萍乡市妇幼保健院收治的90例急性化脓性扁桃体炎患儿作为研究对象,经随机数字表法将患儿分为三组各30例。A组静脉注射阿莫西林克拉维酸钾30 mg/kg,3次/d,间隔8 h;B组在A组治疗上增加短波紫外线治疗,照射时间为15~18 s,1次/d;C组在B组基础上增加穴位贴敷辅助治疗,采用釜底抽薪散,贴敷4~6 h,1次/d。三组治疗时间均为3~5 d。比较三组患儿临床疗效、症状改善情况、血清指标[C反应蛋白(CRP)、白细胞(WBC)],并统计三组治疗期间不良反应发生情况。结果:A组总有效率为70.00%,B组总有效率为80.00%,C组总有效率为100.00%,C组与A组和B组比较差异有统计学意义(P<0.05)。C组热退时间、扁桃体脓性分泌物消失时间、住院时间短于A组和B组,且B组短于A组,差异有统计学意义(P<0.05)。三组治疗前血清CRP和WBC水平比较,差异均无统计学意义(P>0.05);三组治疗后血清CRP和WBC水平均低于治疗前(P<0.05);治疗后C组血清CRP和WBC水平低于A组和B组,B组低于A组,差异有统计学意义(P<0.05)。三组治疗期间不良反应发生率比较,差异无统计学意义(P>0.05)。结论:短波紫外线联合穴位贴敷治疗小儿急性化脓性扁桃体炎的临床效果显著,可以有效促进患儿临床症状改善,降低炎症反应,安全性好。Objective:This study aimedto explore the therapeutic effects of acupoint application assisted by shortwave ultraviolet radiation in children with acute suppurative tonsillitis.Methods:A prospective randomized controlled study was conducted.Ninety children with acute suppurative tonsillitis admitted to our hospital between January 2022 and August 2023 were selected as research subjects.The children were divided into three groups,with 30 cases in each group,using the random number table method.Group A was intravenously injected with 30 mg/kg amoxicillin and clavulanate potassium three times a day at an interval of 8 h.Group B was treated with shortwave ultraviolet radiation based on group A treatment,with an irradiation time of 15~18 seconds once a day.Group C was treated with acupoint application assisted by"Fudi Chouxin Powder"on the basis of group B,with an application time of 4~6 hours once a day.The treatment duration for all three groups was one week.The clinical efficacy,symptom improvement,and serum indicators[C-reactive protein(CRP)and white blood cell(WBC)]of the three groups were compared,and the occurrence of adverse reactions during treatment in the three groups was statistically analyzed.Results:The total effective rates in groups A to C were 70.00%,80.00%,and 100.00%,respectively.The differences among the three groups were statistically significant(P<0.05).The fever subsidence time,disappearance time of purulent secretions from tonsils,and hospitalization time in group C were significantly shorter than those in groups A and B,and those in group B were significantly shorter than those in group A(P<0.05).There were no statistically significant differences in serum CRP and WBC levels among the three groups before treatment(P>0.05).The serum CRP and WBC levels in the three groups after treatment were lower than those before treatment(P<0.05).The serum CRP and WBC levels in group C were significantly lower than those in groups A and B,and those in group B were significantly lower than those in group A(P<0

关 键 词：急性化脓性扁桃体炎 注射用阿莫西林克拉维酸钾 穴位贴敷 短波紫外线 症状改善 炎症反应 

分 类 号：R725.6[医药卫生—儿科]