邵氏小儿推拿法联合糠酸莫米松鼻喷雾剂治疗学龄前儿童肺肾阳虚型变应性鼻炎临床研究
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R244.1

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广东省自然科学基金面上项目(2024A1515012808);广东省本科高校教学质量与教学改革工程项目(粤教高函〔2024〕9号第574项)


Clinical Study on SHAO's Pediatric Massage Combined with Mometasone Furoate Nasal Spray for Allergic Rhinitis in Preschool Children with Lung-Kidney Yang Deficiency Type
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    摘要:

    目的:观察邵氏小儿推拿法联合糠酸莫米松鼻喷雾剂治疗学龄前肺肾阳虚型变应性鼻炎患儿的临 床效果。方法:纳入72例学龄前肺肾阳虚型变应性鼻炎患儿作为研究对象,采用随机数字表法分为试验组和 对照组各36例,对照组使用糠酸莫米松鼻喷雾剂治疗,试验组在糠酸莫米松鼻喷雾剂治疗基础上给予邵氏 “以通促和”小儿推拿法。2 组均治疗2 周。比较2 组治疗前后的鼻部症状总分(TNSS)、视觉模拟评分法 (VAS) 评分、中医证候积分、改良Lund-Kennedy(MLK) 鼻内镜评分、鼻结膜炎生存质量量表(RQLQ) 评分、 鼻炎控制评估测试(RCAT) 评分。比较2组的临床疗效。结果:治疗后,试验组总有效率91.67% (33/36), 对照组总有效率72.22%(26/36),2组比较,差异有统计学意义(P<0.05)。2组TNSS、VAS评分、中医证候 积分、MLK鼻内镜评分、RQLQ评分均较治疗前下降,RCAT评分均较治疗前升高,差异均有统计学意义(P< 0.05)。试验组TNSS、VAS评分、中医证候积分、MLK鼻内镜评分、RQLQ评分均低于对照组,RCAT评分高于 对照组,差异均有统计学意义(P<0.05)。结论:邵氏小儿推拿法联合糠酸莫米松鼻喷雾剂治疗学龄前肺肾阳 虚型变应性鼻炎患儿疗效确切,能够有效减轻鼻部症状,提高其生活质量,且安全性较高。

    Abstract:

    Abstract:Objective:To observe the clinical efficacy of SHAO's pediatric massage combined with Mometasone Furoate Nasal Spray in treating allergic rhinitis in preschool children with lung-kidney yang deficiency type.Methods:A total of 72 preschool children diagnosed as allergic rhinitis of lung-kidney yang deficiency type were recruited and screened as the research subjects,and were divided into the trial group and the control group using the random number table method,with 36 cases in each group.The control group was treated with Mometasone Furoate Nasal Spray,and the trial group was given SHAO's pediatric massage, which aims to promote harmony by restoring free flow of qi and blood, based on the treatment of the control group. Both groups were treated for two weeks. The clinical efficacy, Total Nasal Symptom Scores(TNSS), Visual Analogue Scale(VAS)scores, traditional Chinese medicine(TCM) syndrome scores, modified Lund-Kennedy (MLK) endoscopic scores, Rhinoconjunctivitis Quality of Life Questionnaire(RQLQ)scores,and Rhinitis Control Assessment Test(RCAT)scores were compared between the two groups before and after the treatment. Results: After treatment, the total effective rate was 91.67%(33/36)in the trial group and 72.22%(26/36)in the control group,the difference being significant(P<0.05).The TNSS,VAS, TCM syndrome scores, MLK endoscopic scores and RQLQ scores of patients in the two groups decreased when compared with those before treatment(P<0.05), and the RCAT scores increased when compared with those before treatment,differences being significant(P<0.05).The TNSS,VAS,TCM syndrome scores,MLK endoscopic score and RQLQ score in the trial group were lower than those in the control group,and the RCAT score was higher than that in the controlgroup,differencesbeingsignificant(P<0.05).Conclusion:SHAO'spediatricmassagecombinedwithMometasone Furoate Nasal Spray has a significant effect on preschool children with allergic rhinitis of lung-kidney yang deficiency type,which can effectively alleviate nasal symptoms,improve quality of life,and show higher safety.

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陈泫兵,傅莎丽,李樾,连亮旭,于博瀚,邵瑛.邵氏小儿推拿法联合糠酸莫米松鼻喷雾剂治疗学龄前儿童肺肾阳虚型变应性鼻炎临床研究[J].新中医,2025,57(18):124-130

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  • 在线发布日期: 2025-09-25
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