鼻鼽推拿术治疗儿童鼻鼽的临床研究

发布时间：2018-03-26 05:41

本文选题：儿童鼻鼽推拿术　切入点：变应性鼻炎　出处：《广州中医药大学》2016年硕士论文

【摘要】：研究目的本研究通过运用儿童鼻鼽推拿术配合中药治疗儿童鼻鼽的疗效观察,与单纯中药组、西药组的疗效进行比较,从症状、兼证如饮食、睡眠、二便等量化积分评估该方法的有效性,从而为治疗儿童鼻鼽提供一种有效并能为儿童接受的中医外治法。研究方法本研究病例选择从2014年3月至2015年10月在广州中医药大学第一附属医院耳鼻喉科门诊就诊的90例儿童鼻鼽患者(年龄为3至10岁),将其随机分为三组,第一组为推拿+中药组,应用儿童鼻鼽推拿术+口服中药治疗；第二组为中药组,采用单纯口服中药治疗；第三组为西药组,采用口服氯雷他定片配合糠酸莫米松喷雾剂喷鼻治疗。以上疗程均为2周,其中儿童鼻鼽推拿术治疗为每周2次。观察患儿的症状、兼证如饮食、睡眠、二便、面色等量化积分的变化,并于1个月后随访患儿,再次观察患儿的症状积分改变。研究结果治疗前,三组患者的一般情况(性别、年龄、病程)、症状体征评分、饮食、睡眠、大便、面色等情况,差异均无统计学意义,具有可比性。治疗后,推拿组+中药组显效6例,有效22例,无效2例；中药组显效1例,有效17例,无效12例；西药组显效1例,有效21例,无效8例。经统计学分析,三组间疗效具有统计学意义(P0.05),推拿+中药组总临床疗效优于中药组、西药组,中药组与西药组的临床疗效差异无统计学意义。在改善睡眠、饮食、大便、面色方面,推拿+中药组、中药组效果优于西药组(P0.05),推拿+中药组与中药组临床疗效差异无统计学意义。停治一个月后,推拿+中药组的临床疗效优于中药组(P0.05),中药组的临床疗效优于西药组(P0.05)。研究结论应用儿童鼻鼽推拿术配合口服中药的疗效比单纯口服中药、西药要好；应用儿童鼻鼽推拿术的患者体质普遍得到改善,鼻部局部正在明显好转,甚者基本治愈；推拿+中药组患儿一般全身情况如饮食、睡眠、二便、面色等的改变较其他两组明显具有优势,且停治1个月后疗效明显优于单纯服用中药及西药。儿童鼻鼽推拿术可作为治疗儿童鼻鼽的有效常规中医外治法。
[Abstract]:Objective to observe the curative effect of treating children with rhinitis rhinitis by using pediatric rhinitis massage and traditional Chinese medicine, and compare the curative effect of traditional Chinese medicine group and western medicine group, from symptoms, and syndrome such as diet, sleep, etc. Secondly, the effectiveness of the method is evaluated by the equal-quantization integral. In order to provide an effective and acceptable method for the treatment of pediatric rhinitis, this study was conducted from March 2014 to October 2015 at the Otolaryngology Clinic of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. Ninety children with allergic rhinitis (aged 3 to 10 years) were randomly divided into three groups. The first group was treated by oral Chinese medicine with children's rhinitis massage; the second group was treated with oral Chinese medicine alone; and the third group was treated with western medicine. The patients were treated with oral loratadine tablets combined with momethasone furoate spray. The above course of treatment was 2 weeks. The children were treated with rhinitis massage twice a week. The symptoms of the children were observed, and the symptoms were observed, such as diet, sleep, and 2 cases. The changes of facial color equalization score were followed up 1 month later to observe the change of symptom score again. Results before treatment, the general condition (sex, age, course of disease, symptom and sign score, diet, sleep) of the patients in the three groups were observed. After treatment, there were 6 cases of marked effect, 22 cases of effectiveness and 2 cases of ineffectiveness in the massage group, 1 case in the Chinese medicine group, 17 cases in the Chinese medicine group and 12 cases in the western medicine group, and 1 case in the western medicine group. There were 21 cases of effective and 8 cases of ineffective. By statistical analysis, the curative effect of the three groups was statistically significant (P 0.05). The total clinical efficacy of the Chinese herbal massage group was better than that of the traditional Chinese medicine group and the western medicine group. There was no significant difference in the clinical efficacy between the Chinese medicine group and the western medicine group. In terms of improving sleep, diet, stool and complexion, the Chinese medicine massage group, The effect of the Chinese medicine group was better than that of the western medicine group (P 0.05). There was no significant difference in the clinical efficacy between the massage group and the traditional Chinese medicine group. The clinical curative effect of the Chinese herbal massage group was better than that of the traditional Chinese medicine group, and the clinical effect of the traditional Chinese medicine group was better than that of the western medicine group. Conclusion the curative effect of the children's rhinitis massage combined with oral Chinese medicine is better than that of the traditional Chinese medicine alone. The physique of the patients who applied the pediatric rhinitis massage surgery was generally improved, the nasal part was obviously improving, and even the patients were basically cured. The children in the Chinese herbal massage group generally had systemic conditions such as diet, sleep, and two stools. The change of facial color was superior to that of the other two groups, and the curative effect was better than that of traditional Chinese medicine and western medicine only after one month's discontinuation of treatment, and the children's rhinitis massage could be regarded as an effective external therapy of traditional Chinese medicine for treating children's rhinitis.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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