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苍麻鼻炎汤治疗儿童变应性鼻炎的临床疗效观察

发布时间:2019-06-29 21:02
【摘要】:目的:观察苍麻鼻炎汤治疗儿童变应性鼻炎的临床疗效。方法:将符合入选标准的72例儿童变应性鼻炎患儿,采取随机分组的方法,分为治疗组和对照组。治疗组36例口服苍麻鼻炎汤,对照组36例给予内舒拿(糠酸莫米松鼻喷雾剂)喷鼻,4周为一个疗程,对2组患儿家属均进行详细指导护理。分别于治疗6h后、治疗2周后观察两组患儿的总有效率、主症积分变化情况、中医症候积分变化,以及停药后3个月的随访情况。结果:1.两组在用药6h后,治疗组总有效率为50%,对照组总有效率为67.6%。在用药2周后,治疗组总有效率为85.3%,对照组总有效率为91.2%,治疗组的总有效率与对照组相当(P0.05),无显著差异。2.在主症积分方面:两组治疗前、治疗6h后、治疗2周后P值均0.05,无统计学意义,无显著差异。在中医症候积分方面:两组用药6h后、用药2周后,P值均0.05,有统计学意义,有显著差异。3.治疗组在治疗后3个月随访的复发率与有效率明显低于对照组(P0.05),有统计学意义,两组复发率、远期疗效有显著差异。结论:1.苍麻鼻炎汤治疗儿童变应性鼻炎的疗效与内舒拿相当。2.苍麻鼻炎汤在治疗儿童变应性鼻炎主症方面,起效慢于内舒拿。在改善肺气虚寒症候方面疗效显著,优于内舒拿。3.苍麻鼻炎汤治疗儿童变应性鼻炎起效迅速,复发率低,远期疗效好,安全有效。
[Abstract]:Objective: to observe the clinical effect of Cangma rhinitis decoction on allergic rhinitis in children. Methods: 72 children with allergic rhinitis were randomly divided into treatment group and control group. 36 cases in the treatment group were treated with Cangma rhinitis decoction, and 36 cases in the control group were given nasal spray with Momisone furfurate nasal spray. The family members of the two groups were given detailed guidance and nursing care for 4 weeks as a course of treatment. After 6 hours of treatment and 2 weeks after treatment, the total effective rate, the change of main symptom score, the change of TCM syndrome score and the follow-up of 3 months after withdrawal were observed. Result: 1. After 6 hours of treatment, the total effective rate was 50% in the treatment group and 67.6% in the control group. After 2 weeks of treatment, the total effective rate was 85.3% in the treatment group and 91.2% in the control group. The total effective rate in the treatment group was similar to that in the control group (P 0.05), and there was no significant difference. 2. In the aspect of main symptom score: before treatment, 6 hours after treatment, P value was 0.05 after 2 weeks of treatment, there was no significant difference between the two groups. In the aspect of syndrome score of traditional Chinese medicine: after 6 hours of medication and 2 weeks of treatment, the P value was 0.05, which was statistically significant and there was significant difference between the two groups. 3. The recurrence rate and effective rate of follow-up 3 months after treatment in the treatment group were significantly lower than those in the control group (P 0.05). There was significant difference in the recurrence rate and long-term curative effect between the two groups. Conclusion: 1. The curative effect of Cangma rhinitis decoction in the treatment of allergic rhinitis in children is as good as that of Nishna. 2. Cangma rhinitis decoction in the treatment of allergic rhinitis in children, the effect is slower than Neshu. It is effective in improving the syndrome of deficiency of lung qi and cold, which is better than that of Nesuna. 3. Cangma rhinitis decoction has the advantages of rapid effect, low recurrence rate, good long-term effect and safe and effective effect in the treatment of allergic rhinitis in children.
【学位授予单位】:黑龙江中医药大学
【学位级别】:硕士
【学位授予年份】:2017
【分类号】:R276.1

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