夷芎汤配艾灸治疗小儿变应性鼻炎的临床疗效观察

发布时间：2018-12-13 20:04

【摘要】：目的：本研究观察夷芎汤配灸法在治疗小儿变应性鼻炎(风寒犯肺证)的临床疗效,旨在阐明中医中药及灸法治疗小儿变应性鼻炎的优越性。从而拓展治疗小儿变应性鼻炎的治疗途径,并为本病的中医药治疗研究积累一定素材。方法：研究以60例符合小儿变应性鼻炎诊断,年龄在2岁以上患儿为对象,随机按1：1分为治疗组、中药对照组各30例。治疗组给予口服夷芎汤配灸百会穴的联合治疗方法,中药对照组只予夷芎汤口服,疗程为14天。治疗过程前后观察并记录两组患儿临床症状、体征的变化及计分。最终将收集资料整理,进行统计学处理和治疗结果分析。结果：研究结果显示,治疗组显效率为63.33%,总有效率为93.33%；中药对照组显效率为56.66%,总有效率为90.00%。治疗组及中药对照组自身前后在各主症及次症上比较,P0.05,差异有统计学意义。即治疗组和中药对照组在治疗变应性鼻炎方面存在显著疗效。二组患者总体疗效比较,P0.05,说明治疗组与中药对照组总体疗效上无差异；分析各个主证及次证,治疗组与中药对照组在鼻阻、睡眠、出汗、恶风症状上计分比较,P0.05,故从改善主要症状及次要症状方面,治疗组较中药对照组疗效显著。结论：风寒犯肺证是小儿变应性鼻炎的一个常见证型。夷芎汤合灸百会穴及单纯中药治疗小儿变应性鼻炎鼻炎(风寒犯肺证),都能明显改善患者的症状,表明夷芎汤和灸法在本病的治疗方面具有明确的疗效,同时治疗组比单用中药汤剂治疗改善鼻阻等症状上存在优势。
[Abstract]:Objective: to observe the clinical effect of Yixiong decoction combined with moxibustion in the treatment of allergic rhinitis in children, in order to clarify the superiority of traditional Chinese medicine and moxibustion in treating allergic rhinitis in children. In order to expand the treatment of allergic rhinitis in children, and to accumulate certain materials for the research of TCM treatment of this disease. Methods: 60 cases of children with allergic rhinitis diagnosed in accordance with the diagnosis of allergic rhinitis in children aged over 2 years were randomly divided into treatment group (30 cases) and control group (30 cases) according to 1:1. The treatment group was treated with Yixiong decoction combined with moxibustion at Baihui point, while the control group was treated with Yixiong decoction for 14 days. The clinical symptoms, signs and scores of the two groups were observed and recorded before and after treatment. Finally, the data will be collected, statistical processing and treatment results analysis. Results: the effective rate was 63.33 and the total effective rate was 93.33 in the treatment group and 56.66 in the control group. The treatment group and the traditional Chinese medicine control group before and after the comparison of the main symptoms and secondary symptoms, P0.05, the difference was statistically significant. That is, the treatment group and the control group in the treatment of allergic rhinitis has a significant effect. There was no difference between the treatment group and the traditional Chinese medicine control group in the overall curative effect of the two groups (P0.05). By analyzing the main and secondary syndromes, the scores of nasal obstruction, sleep, sweating and bad wind were compared between the treatment group and the traditional Chinese medicine control group (P0.05). Therefore, the treatment group was more effective than the traditional Chinese medicine control group in improving the main symptoms and secondary symptoms. Conclusion: lung syndrome is a common syndrome of allergic rhinitis in children. Yixiong decoction combined with moxibustion at Baihui point and traditional Chinese medicine alone in the treatment of allergic rhinitis in children (wind-cold lung syndrome) can obviously improve the symptoms of the patients, indicating that Yi-Xiong Tang and moxibustion have a clear curative effect on the treatment of this disease. At the same time, the treatment group was superior to traditional Chinese medicine decoction alone in improving nasal obstruction and other symptoms.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R246.4

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