益气温阳方治疗儿童变应性鼻炎的临床疗效观察

发布时间：2018-04-17 00:30

本文选题：儿童变应性鼻炎 + 益气温阳方　；参考：《南京中医药大学》2012年硕士论文

【摘要】：目的：通过益气温阳方与盐酸西替利嗪糖浆的疗效比较,观察中药益气温阳方在儿童变应性鼻炎治疗中的疗效,探讨中药汤剂治疗儿童过敏性鼻炎的可行性和优越性,挖掘中医益气温阳法在儿童变应性鼻炎中的临床价值,为中医药防治儿童变应性鼻炎开拓更为广阔的前景。方法：在确定儿童变应性鼻炎诊断标准、纳入标准、排除标准和疗效评定标准的基础上,选取符合纳入标准的儿童AR观察对象60例,随机分为两组,治疗组30例以益气温阳方颗粒或煎剂,每日冲服,每天2次,对照组30例以西替利嗪糖浆每晚睡前口服。疗程为4周,观察治疗前后治疗组与对照组之间症状改善情况。结果： 1.治疗后治疗组主要症状显效5例(16.7%),改善19例(63.3%),无效6例(20%)。对照组治疗后主要症状显效0例(0%),改善6例(20%),无效24例(80%)。经卡方检验两组比较差异有统计学意义(P0.05)。其中各主要症状治疗前后比较,鼻痒、鼻塞、喷嚏、流涕症状比较后,p均小于0.05,具有显著性差异,说明益气温阳方在缓解上述症状方面具有显著优势。鼻甲肿大症状前后比较p大于0.05,无明显短期疗效。 2.治疗后治疗组伴随症状明显改善8例(26.7%),稳定15例(50%),无效7例(23.3%)。对照组治疗后次要症状明显改善4例(13.3%),稳定10例(33.3%),无效16例(53.3%)。经卡方检验两组比较差异有统计学意义(P0.05)。 3.治疗后,治疗组伴随中医症状经治疗后,畏寒、食少、便溏症状均未见显著性差异,说明益气温阳方在缓解伴随中医症状方面疗效不明显。 4.治疗后,治疗组各伴随西医症状比较后,伴上气道咳嗽综合征存在显著性差异,说明益气温阳方在缓解伴上气道咳嗽综合征有显著疗效,其余症状对照未显效。结论：益气温阳方对儿童变应性鼻炎有治疗作用,值得推广。
[Abstract]:Objective: the curative effect of Tonifying Qi and warming yang and Cetirizine Hydrochloride Syrup, observe the effect of Yiqi Wenyang Decoction in the treatment of allergic rhinitis in children, to explore the feasibility and superiority of traditional Chinese medicine decoction for the treatment of allergic rhinitis in children, the clinical value of traditional Chinese medicine of Tonifying Qi and warming Yang mining method in children with allergic rhinitis in children, for the prevention and treatment of traditional Chinese medicine allergic rhinitis is the development of a more broad prospects.
Methods: the inclusion criteria in determining the standard diagnosis of allergic rhinitis, basis of exclusion criteria and the evaluation standard, the selection criteria of children AR observed in 60 cases, were randomly divided into two groups, the treatment group of 30 cases with Yiqiwenyang Fang granules or decoction, daily a day, 2 times a day, the control group 30 cases of cetirizine syrup orally at bedtime. The course was 4 weeks. Observe the symptoms before and after treatment between the treatment group and the control group to improve the situation.
Result:
The main symptoms of the treatment group was 1. after treatment, 5 cases (16.7%), improved in 19 cases (63.3%), invalid in 6 cases (20%). 0 cases of the control group after treatment, the main symptoms were improved in 6 cases (0%), (20%), invalid in 24 cases (80%). By testing the difference between the two groups with chi square statistical significance (P0.05). One of the main symptoms before and after treatment, nasal itching, nasal congestion, sneezing, runny nose symptoms, P were less than 0.05, with a significant difference, that Yiqiwenyang Fang has significant advantages in relieving the symptoms. Symptoms before and after turbinate swelling P is greater than 0.05, no significant short-term effect.
2., after treatment, the symptoms in the treatment group were significantly improved, 8 cases (26.7%), 15 cases (50%) were stable, and 7 cases (23.3%) were not effective. The secondary symptoms of the control group improved significantly, 4 cases (13.3%) were stable, 10 cases (33.3%) were stable, and 10 cases were ineffective. There was a significant difference in Chi square test between the two groups (P0.05).
3. after treatment, the treatment group with TCM symptoms after treatment, chills, eat less, diarrhea symptoms were not significantly different, that of Yiqiwenyang Fang in relieving symptoms with the efficacy of traditional Chinese medicine is not obvious.
4. after treatment, there was significant difference between the treatment group and the upper airway cough syndrome after comparing the symptoms of Western medicine, indicating that the Yiqi Wenyang recipe has a significant effect in relieving the cough with the upper airway cough syndrome, and the rest of the symptoms are not effective.
Conclusion: Yiqi Wenyang prescription has a therapeutic effect on allergic rhinitis in children, and it is worth popularizing.

【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

【参考文献】