益气通窍汤联合穴位贴敷治疗小儿过敏性鼻炎肺脾气虚证临床研究
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R725.6

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Clinical Study on Yiqi Tongqiao Tang Combined with Point Application for Allergic Rhinitis with Dual Deficiency of Lung-Spleen Syndrome in Children
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    摘要:

    目的:观察益气通窍汤联合穴位贴敷治疗小儿过敏性鼻炎肺脾气虚证的临床疗效。方法:采用随机数字表法将62 例过敏性鼻炎肺脾气虚证患儿分为治疗组和对照组,每组31 例。对照组给予糠酸莫米松鼻喷雾剂联合孟鲁司特钠咀嚼片治疗,治疗组在对照组基础上加用益气通窍汤联合穴位贴敷治疗,2 组均治疗1 个月。比较2 组临床疗效及不良反应发生率;比较2 组治疗前后症状体征评分及超敏C-反应蛋白(hs-CRP)、白细胞介素-6(IL-6)、免疫球蛋白E(IgE) 水平。结果:治疗组总有效率为93.55%,高于对照组的70.97%(P<0.05)。治疗后,2 组症状体征评分均较治疗前降低(P<0.05),治疗组症状体征评分低于对照组(P<0.05)。治疗后,2 组hs-CRP、IL-6 及IgE 水平均较治疗前降低(P<0.05),治疗组hs-CRP、IL-6 及IgE 水平均低于对照组(P<0.05)。对照组不良反应发生率为25.81%,治疗组不良反应发生率为6.45%,2 组比较,差异有统计学意义(P<0.05)。结论:益气通窍汤联合穴位贴敷治疗小儿过敏性鼻炎肺脾气虚证临床疗效较好,可有效改善患儿的症状体征,降低炎症因子水平,调节免疫功能,安全性较好。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of Yiqi Tongqiao tang combined with point application on allergic rhinitis with dual deficiency of lung- spleen syndrome in children. Methods: A total of 62 cases of children with allergic rhinitis with dual deficiency of lung- spleen syndrome were divided into the treatment group and the control group according to the random number table method, with 31 cases in each group. The control group was treated with mometasone furoate nasal spray combined with montelukast sodium chewable tablets, and the treatment group was additionally treated with Yiqi Tongqiao tang combined with point application based on the treatment of the control group. Both groups were treated for one month. The clinical effects and incidence of adverse reactions in the two groups were compared; before and after treatment,the scores of symptoms and signs as well as the levels of high-sensitivity C-reactive protein (hs-CRP),interleukin-6(IL-6) and immunoglobulin E(IgE) in the two groups were compared. Results:The total effective rate was 93.55% in the treatment group,higher than that of 70.97% in the control group(P<0.05). After treatment,the scores of symptoms and signs in both groups were decreased when compared with those before treatment(P<0.05),and the above scores in the treatment group were lower than those in the control group(P<0.05). After treatment,the levels of hs-CRP, IL-6 and IgE in the two groups were decreased when compared with those before treatment(P<0.05),and the above levels in the treatment group were lower than those in the control group(P<0.05). The incidence of adverse reactions was 25.81% in the control group, and was 6.45% in the treatment group, the difference being significant(P<0.05). Conclusion: The therapy of Yiqi Tongqiao tang combined with point application has a good clinical effect on allergic rhinitis with dual deficiency of lung- spleen syndrome in children, which can effectively improve their symptoms and signs, reduce the level of inflammatory factors and regulate immune function,with high safety.

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王云香.益气通窍汤联合穴位贴敷治疗小儿过敏性鼻炎肺脾气虚证临床研究[J].新中医,2021,53(24):118-121

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  • 在线发布日期: 2021-12-27
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