化瘀散结法治疗儿童鼾眠气滞血瘀证的临床研究

发布时间：2018-12-05 20:48

【摘要】：目的:观察化瘀散结法治疗儿童鼾眠气滞血瘀证的临床疗效。方法:选取60例来自长春中医药大学附属医院耳鼻喉科门诊证属气滞血瘀证的鼾眠患儿,年龄均在3~8岁,随机分为治疗组和对照组两组,治疗组(30例)给予自拟化瘀散结类中药方剂口服同时配合中药雾化吸入治疗,对照组(30例)给予鼻渊通窍颗粒口服同时配合中药雾化吸入治疗,进行对比观察研究。结果:经过14天的治疗后,治疗组总有效率为83.33%,对照组总有效率为63.33%,用统计软件SPSS19经秩合检验分析,得出Z=-1.974,P=0.048,P0.05,说明治疗组与对照组的两种方法治疗儿童鼾眠的治疗效果之间对比有统计学意义,治疗组的疗效优于对照组。将两组病程与疗效进行对照比较,结果显示治疗组病程在14~30天的患儿总有效率为100.00%,病程在30~60天的患儿总有效率为85.71%,病程大于60天的患儿总有效率为33.33%;对照组病程在14~30天的患儿总有效率为91.67%,病程在30~60天的患儿总有效率为66.67%,病程大于60天的患儿总有效率为22.22%;表明病程越短治疗效果越好,且治疗组各病程的效果都明显优于对照组。结论:病邪久滞,气血瘀阻,瘀热夹杂于小儿腺样体脉络是小儿鼾眠的重要病机,化瘀散结、清宣开窍是儿童鼾眠的重要治法,化瘀散结法治疗儿童鼾眠,安全性高、副作用小,疗效确切,目前尚未发现任何不良毒副作用,值得在临床上推广应用。
[Abstract]:Objective: to observe the clinical effect of Huayu Sanjie method in treating children snoring sleeping qi stagnation and blood stasis syndrome. Methods: sixty children with snoring sleep were randomly divided into two groups: the treatment group and the control group, who were all aged 3 to 8 years old with the syndrome of qi stagnation and blood stasis in the outpatient department of otolaryngology, affiliated hospital of Changchun University of traditional Chinese Medicine. The treatment group (30 cases) were treated with self-made traditional Chinese medicine prescriptions of Huayu Sanjie and combined with Chinese medicine atomization inhalation, while the control group (30 cases) were treated with Biyuan Tongqiao granule and Chinese medicine atomization inhalation. Results: after 14 days of treatment, the total effective rate of the treatment group was 83.33 and the total effective rate of the control group was 63.33. By using the statistical software SPSS19, the results of rank test analysis showed that the total effective rate of the treatment group was 83.33, and the total effective rate of the control group was 63.33. The results showed that there was significant difference between the treatment group and the control group in the treatment of snoring sleep in children, and the curative effect of the treatment group was better than that of the control group. The results showed that the total effective rate of the treatment group was 100.00for 1430 days, 85.71 for the 30 days and 33.33 for the longer than 60 days. In the control group, the total effective rate was 91.67 for 14 days, 66.67 for 30 days and 22.22 for those whose course was more than 60 days. It showed that the shorter the course of disease, the better the therapeutic effect, and the effect of each course of disease in the treatment group was obviously better than that in the control group. Conclusion: chronic stagnation of disease, stagnation of qi and blood, blood stasis and heat intermingling with the vein of children's adenoid body are the important pathogenesis of children's snoring sleep. Removing stasis and dispersing resuscitation is an important method to treat children's snoring sleep, and the method of removing blood stasis and dispersing blood stasis to treat children's snoring sleep is safe, and it is safe to treat children's snoring sleep. The side effect is small, the curative effect is definite, no adverse side effects have been found at present, it is worth popularizing in clinic.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R276.1

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