口炎清颗粒联合单磷酸阿糖腺苷治疗阴虚火旺型儿童疱疹性口腔炎临床研究
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Clinical Study on Kouyanqing Granules Combined with Adenosine Monophosphate for Children with Herpetic Stomatitis of Yin Deficiency with Effulgent Fire Type
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    摘要:

    目的:观察口炎清颗粒联合单磷酸阿糖腺苷治疗阴虚火旺型疱疹性口腔炎患儿的效果。方法:纳入130 例阴虚火旺型疱疹性口腔炎患儿作为研究对象,随机分为对照组和研究组各65 例。2 组均给予退热、饮食指导和口腔清洁等常规护理和治疗,并予单磷酸阿糖腺苷治疗,研究组加服口炎清颗粒治疗。2 组均连续治疗7 d。评价2 组患儿的临床疗效,记录患儿临床症状改善时间;治疗前后检测血清肿瘤坏死因子-α(TNF-α)、超敏C-反应蛋白(hs-CRP) 和白细胞介素-6(IL-6) 水平;观察治疗期间不良反应发生情况与随访3 个月内的复发情况。结果: 治疗7 d 后, 研究组临床疗效总有效率(93.85%) 高于对照组(76.92%)(P<0.01)。研究组发热消退周期、疱疹皮损愈合周期、恢复饮食周期和口痛流涎消失周期均短于对照组(P<0.01)。2 组血清TNF-α、hs-CRP、IL-6 水平均较治疗前下降(P<0.01),研究组3 项指标水平均低于对照组(P<0.01)。研究组的不良反应发生率(12.31%) 与对照组(9.23%) 比较,差异无统计学意义(P>0.05)。随访3 个月,观察组的复发率(3.08%) 低于对照组(13.85%)(P<0.05)。结论:口炎清颗粒联合单磷酸阿糖腺苷治疗阴虚火旺型儿童疱疹性口腔炎,可有效提高临床疗效、缩短临床症状改善周期、减轻炎症反应程度、预防病情复发,安全性较高。

    Abstract:

    Abstract: Objective: To observe the effect of Kouyanqing granules combined with adenosine monophosphate for children with herpetic stomatitis of yin deficiency with effulgent fire type. Methods:A total of 130 cases of children with herpetic stomatitis of yin deficiency with effulgent fire type were selected as the research objects, and were divided into the control group and the study group randomly , with 65 cases in each group. Both groups were given routine nursing and treatment such as antipyretic, diet guidance and oral cleaning,and treated with adenosine monophosphate;the study group was additionally given the oral administration of Kouyanqing granules. Both groups were treated for seven days. The clinical effects in the two groups were evaluated,and the improvement time of clinical symptoms was recorded; the levels of tumor necrosis factor-α(TNF-α),high-sensitivity C-reactive protein(hs-CRP) and interleukin- 6(IL- 6) in serum before and after treatment were detected; the incidence of adverse reactions during treatment and the recurrence within three months of follow-up were observed. Results:After seven days of treatment,the total effective rate of the study group(93.85%) was higher than that of the control group (76.92%) (P<0.01). The fever regression cycle,herpes skin lesion healing cycle,diet recovery cycle and salivation disappearance cycle of the study group were shorter than those of the control group(P<0.01). The levels of TNF-α,hs-CRP and IL-6 in both group were lower than those before treatment(P<0.01),and the levels of three indexes in the study group were lower than those in the control group(P<0.01). There was no significant difference in the total incidence of adverse drug reactions between the study group (12.31%) and the control group(9.23%)(P>0.05). The recurrence rate of the observation group(3.08%) was lower than that of the control group(13.85% ) (P<0.05). Conclusion: The therapy of Kouyanqing granules combined with adenosine monophosphate for children with herpetic stomatitis of yin deficiency with effulgent fire type can effectively improve the clinical effect, shorten the improvement period of clinical symptoms,reduce the degree of inflammatory responses and prevent the recurrence of the disease,with high safety.

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宋小丽.口炎清颗粒联合单磷酸阿糖腺苷治疗阴虚火旺型儿童疱疹性口腔炎临床研究[J].新中医,2022,54(14):107-110

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  • 在线发布日期: 2022-07-21
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