儿推鼻部八法治疗肺气虚寒型AR的疗效观察

发布时间：2018-06-17 02:25

本文选题：小儿推拿 + 鼻部八法　；参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:观察小儿推拿鼻部八法治疗肺气虚寒型小儿过敏性鼻炎的疗效,与西药组(氯雷他定与糠酸莫米松联合应用)进行比较,评估两种治疗方法临床疗效的差异,旨在阐明小儿推拿鼻部八法治疗肺气虚寒型过敏性鼻炎的优越性。方法:本研究采用随机对照临床试验方法,研究对象为64例3～10周岁符合标准的患儿,将合格的患儿分入治疗组与对照组,两组均32例。治疗组采用小儿推拿鼻部八法治疗,对照组采用西药(氯雷他定与糠酸莫米松联合应用)治疗。治疗组每两天进行1次治疗,对照组每天服药,10天为1疗程,共治疗2个疗程。分别记录评分两组治疗前后的主症(鼻塞、鼻痒、喷嚏、流清涕)、次症(畏风怕冷、易感冒、自汗、气短乏力)、体征(鼻甲、鼻黏膜),并对第1、2疗程、随访3月疗效进行比较分析。结果:共收集64例患儿,4例脱落,两组各完成30例。两组患儿治疗前的一般资料经比较未存在明显的差异(P0.05),说明两组具有可比性。分别对治疗组治疗前、后的主症、次症、体征进行比较,均有统计学意义(P0.05)。提示鼻部八法小儿推拿治疗有效。分别对照组治疗前、后的主症、次症、体征进行比较,可得对照组能有效改善患儿主症、体征及部分次症(易感冒、自汗)(P0.05),对于畏风怕冷、气短乏力次症疗效不明显(P0.05)。分别对两组治疗后主症、次症、体征进行比较,经统计学分析,提示治疗后两组在改善鼻痒、喷嚏、易感冒、自汗、鼻甲方面疗效无明显差异(P0.05);在改善鼻塞、流清涕、畏风怕冷、气短乏力、鼻黏膜方面差异较明显(P0.05),说明鼻部八法小儿推拿疗效较西药氯雷他定与糠酸莫米松联合应用佳。治疗组显效率为70.00%、总有效率为93.33%均高于对照组显效率43.33%、总有效86.67%,提示说明鼻部八法小儿推拿疗效较西药氯雷他定与糠酸莫米松联合应用佳。第1疗程后两组疗效无差异(PO.05),第2疗程后有差异(P0.05),提示近期疗效鼻部八法小儿推拿疗效较西药氯雷他定与糠酸莫米松联合应用佳。随访3月后两组复发情况差异有统计学意义(P0.05),表明远期疗效治疗组较对照组优,提示小儿推拿鼻部八法较西药氯雷他定与糠酸莫米松联合应用更能有效降低复发率。结论:(1)改善患儿主症、次症、体征,两者均有效,其中改善鼻塞、流清涕、畏风怕冷、气短乏力之症、体征鼻黏膜,鼻部八法小儿推拿疗效较西药氯雷他定与糠酸莫米松联合应用佳。(2)小儿推拿鼻部八法与西药氯雷他定与糠酸莫米松联合应用治疗肺气虚寒型小儿过敏性鼻炎均有效,第1疗程者疗效无差异、第2疗程及远期疗效小儿推拿鼻部八法优于西药氯雷他定与糠酸莫米松联合应用,表明小儿推拿鼻部八法治疗肺气虚寒型过敏性鼻炎具有确切的优越性与稳定性。
[Abstract]:Objective: to observe the curative effect of eight methods of massage and nasal part in treating allergic rhinitis in children with asthenia of lung qi, compare with western medicine group (combined with loratadine and momethasone furoate), and evaluate the difference of clinical curative effect between the two methods. The purpose of this study was to elucidate the advantages of the eight methods for treating allergic rhinitis with deficiency of lung qi and cold. Methods: a randomized controlled clinical trial was conducted with 64 children aged 3 to 10 years old who met the criteria. The eligible children were divided into treatment group and control group with 32 cases in both groups. The treatment group was treated with eight methods of infantile massage and nasal part, while the control group was treated with western medicine (loratadine combined with momethasone furoate). The treatment group was treated once every two days, and the control group was treated with 10 days for a course of treatment, a total of 2 courses of treatment. The scores of main symptoms (nasal congestion, itching, sneezing, runny snot, cold fear, colds, self-sweating, shortness of breath, physical signs (turbinate, nasal mucosa), and second course of treatment were recorded before and after treatment, respectively. Follow up for 3 months to compare and analyze the curative effect. Results: a total of 64 children with 4 cases of abscission were collected, 30 cases in each group. There was no significant difference in general data before treatment between the two groups, indicating that the two groups were comparable. The main symptoms, secondary symptoms and physical signs of the treatment group were compared before and after treatment, all of which had statistical significance (P 0.05). The results suggest that the eight methods of nasal massage are effective in the treatment of children. Before and after treatment, the main symptoms, secondary symptoms and physical signs of the control group were compared. The results showed that the control group could effectively improve the main symptoms, physical signs and partial symptoms of children (susceptible to colds, self-sweating, P0.05N), and had no significant effect on fear of wind and cold, and asthenia of shortness of breath (P0.05N). The main symptoms, secondary symptoms and physical signs of the two groups after treatment were compared respectively. The statistical analysis indicated that there was no significant difference in the curative effect between the two groups in improving nasal itching, sneezing, colds, sweating and turbinate after treatment; Fear of wind and cold, asthenia of short breath and obvious difference in nasal mucosa (P 0.05) indicated that the curative effect of eight methods of nasal massage on children was better than that of western medicine loratadine combined with momethasone furoate. The effective rate of the treatment group was 70.00,93.33% higher than that of the control group (43.33%), and the total effective rate was 86.67%, indicating that the curative effect of the eight methods of nasal massage was better than that of the western medicine loratadine and amethasone furoate. There was no difference in curative effect between the two groups after the first course of treatment, but there was difference between the two groups after the second course of treatment (P 0.05), which suggested that the short-term curative effect of the eight methods of nasal massage was better than that of western medicine loratadine combined with amethasone furoate. There was significant difference in recurrence between the two groups after 3 months follow-up, which indicated that the long-term curative effect in the treatment group was better than that in the control group. It suggested that the eight methods of massage and nasal part of children could reduce the recurrence rate more effectively than the combination of western medicine loratadine and momethasone furoate. Conclusion 1) improving the main symptoms, secondary symptoms and signs, both of which are effective, including nasal obstruction, runny, fear of wind and cold, shortness of breath and asthenia, signs of nasal mucosa. Eight methods of nasal massage were more effective in treating allergic rhinitis in children with asthenia of lung qi than that of western medicine loratadine combined with momethasone furoate) the eight methods of infantile massage and western medicine loratadine combined with amethasone furoate were more effective in treating allergic rhinitis in children with asthenia of lung qi. There was no difference in the effect of the first course of treatment. The second course of treatment and the long-term curative effect were better than the western medicine loratadine combined with momethasone furoate. The results showed that the eight methods of massage and nasal part had definite superiority and stability in treating allergic rhinitis with deficiency of lung qi and cold.
【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】：2017
【分类号】：R244.1

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