摘要
目的:观察推拿联合中药治疗儿童变应性鼻炎的临床疗效。方法:选取90例变应性鼻炎患儿,随机分为推拿+中药组、中药组和西药组,每组30例。3组患儿分别予鼻病推拿术联合中药口服、单纯口服中药、口服氯雷他定片联合糠酸莫米松喷雾剂喷鼻治疗,疗程均为2周。观察患儿治疗结束和随访1月时症状体征的改善情况,并评估治疗效果。结果:治疗结束时,3组症状体征积分均较治疗前降低(P<0.05);推拿+中药组症状体征积分均低于中药组和西药组(P<0.05);中药组与西药组症状体征积分比较,差异无统计学意义(P>0.05)。随访1月,3组症状体征积分均较治疗结束时提高(P<0.05);推拿+中药组症状体征积分均低于中药组和西药组(P<0.05);中药组症状体征积分与西药组比较,差异无统计学意义(P>0.05)。治疗结束时,推拿+中药组总有效率93.3%,中药组总有效率60.0%,西药组总有效率73.3%。推拿+中药组总有效率均高于中药组和西药组(P<0.05);中药组总有效率与西药组比较,差异无统计学意义(P>0.05)。随访1月,推拿+中药组总有效率86.7%,中药组总有效率33.3%,西药组总有效率0。推拿+中药组总有效率均高于中药组和西药组(P<0.01);中药组总有效率高于西药组(P<0.01)。结论:推拿联合中药口服治疗变应性鼻炎疗效满意,效果维持时间比单纯使用中药或西药长。
Objective：To observe the clinical effect of Tuina combined with Chinese medicine for allergic rhinitis in children. Methods：Selected 90 cases of children with allergic rhinitis,and divided them into the Tuina and Chinese medicine group, Chinese medicine group, and western medicine group randomly, 30 cases in each group. Each group was respectively given Tuina of nasal disease combined with oral administration of Chinese medicine, simple use of oral administration of Chinese medicine,and oral administration of loratadine tablets combined with mometasone furoate nasal spray for treatment. The course of treatment for three groups were 2 weeks. Observed the improvements of symptoms and signs of children at the end of treatment and after follow-up of one month,and then evaluated the curative effect. Results：At the end of treatment,the scores of symptoms and signs in three groups were all decreased when compared with those before treatment（P〈0.05）. Scores of symptoms and signs in the Tuina and Chinese medicine group were lower than those in the Chinese medicine group and western medicine group（P〈0.05）. There was no significant difference being found in the comparison of scores of symptoms and signs between the Chinese medicine group and western medicine group（P〈0.05）. At the end of follow-up of one month,scores of symptoms and signs in three groups were all increased when compared with those at the end of treatment（P〈0.05）. Scores of symptoms and signs in the Tuina and Chinese medicine group were lower than those in the Chinese medicine group and western medicine group（P〈0.05）. There was no significant difference being found in the comparison of scores of symptoms and signs between the Chinese medicine group and the western medicine group（P〉0.05）. At the end of treatment,the total effective rate was 93.3% in the Tuina and Chinese medicine group,60.0%in the Chinese medicine group,and 73.3% in the western medicine group. The total effective rate of the Tuina and Chinese medicine group was higher than that of the Chinese medicine group as well as the western medicine group（P〈0.05）. There was no significant difference being found in the comparisons of the total effective rate between the Chinese medicine group and the western medicine group（P〉0.05）. At the end of follow-up of one month,the total effective rate was 86.7% in the Tuina and Chinese medicine group,33.3% in the Chinese medicine group,and 0 in the western medicine group. The total effective rate of the Tuina and Chinese medicine group was higher than that of the Chinese medicine group as well as the western medicine group（P〈0.01）. The total effective rate of the Chinese medicine group was higher than that of the western medicine group（P〈0.01）. Conclusion：The therapy of Tuina combined with oral Chinese medicine for allergic rhinitis has a satisfactory clinical effect which maintains longer duration of effect than therapy of simple Chinese medicine or western medicine.
作者
徐慧贤
沈志勇
陈舒
邵傲凌
XU Huixian;SHEN Zhiyong;CHEN Shu;SHAO Aoling
出处
《新中医》
CAS
2018年第3期135-138,共4页
New Chinese Medicine
