摘要
[目的]探讨小建中汤加减、灸法、超短波联合治疗对小儿肠系膜淋巴结肿大疗效和预后影响。[方法]小儿肠系膜淋巴结肿大患儿98例随机分为A组(n=25)、B组(n=24)、C组(n=24)和D组(n=25)。A组采用超短波治疗, B组采用超短波联合灸法治疗,C组采用超短波联合小建中汤加减治疗,D组采用小建中汤加减、灸法、超短波联合治疗。10 d为1疗程,4组均治疗至少1疗程。评价比较4组疗效,比较4组腹痛消失时间、肠系淋巴结长径与短径变化、腹痛频率、发热时间、住院时间,并统计比较4组不良反应发生率和治疗后2个月内复发率。[结果]与A组比较,B组腹痛消失时间、发热时间均缩短,腹痛频率降低,C组和D组治疗有效率升高,腹痛消失时间、发热时间和住院时间均缩短,腹痛频率降低、治疗后肠系淋巴结长径与短径减小,治疗后2个月内复发率减小(P<0.05);与B组比较,C组和D组治疗有效率升高,腹痛消失时间、发热时间和住院时间均缩短,腹痛频率降低、治疗后肠系淋巴结长径与短径减小,治疗后2个月内复发率减小(P<0.05);与C组比较,D组治疗有效率升高,发热时间和住院时间均缩短,治疗后肠系淋巴结长径与短径减小,治疗后2个月内复发率减小(P<0.05)。与同组治疗前比较,4组治疗后肠系淋巴结长径与短径减小(P<0.05)。4组不良反应发生率比较差异无统计学意义(P>0.05)。[结论]小建中汤加减、灸法、超短波联合治疗可安全有效改善小儿肠系膜淋巴结肿大疗效和预后,值得临床推广应用。
[Objective]To explore the effect and prognosis of Xiaojianzhong decoction combined with moxibustion and ultrashort wave on mesenteric lymphadenopathy in children.[Methods]98 children with mesenteric lymphadenopathy were randomly divided into four groups:group A(n=25),group B(n=24),group C(n=24)and group D(n=25).Group A was treated by ultrashort wave,group B was treated by ultrashort wave combined with moxibustion,group C was treated by ultrashort wave combined with xiaojianzhong decoction,and group D was treated by xiaojianzhong decoction,moxibustion and ultrashort wave combined treatment,10 days as one course,and four groups were treated with at least one course.The efficacy of four groups were evaluated and compared.The disappearance time of abdominal pain,the long and short diameter changes of intestinal lymph nodes,the frequency of abdominal pain,the time of fever,the time of hospitalization of four groups were compared.The adverse reactions rate and the recurrence rate within 2 months after treatment of four groups were also compared.[Results]Compared with those of group A,the disappearance time and fever time and abdominal pain of group B were short,the frequency of abdominal pain of group B was reduced,the effective rate of treatment of group C and group D were increased,the disappearance time of abdominal pain,fever time and hospitalization time of group C and group D were shortened,the frequency of abdominal pain of group C and group D were reduced,the after treatment length and short diameter of intestinal lymph nodes of group C and group D were reduced,and the recurrence rate within 2 months after treatment of group C and group D were reduced(P<0.05);Compared with those of group B,the effective rate of treatment of group C and group D were reduced,the effective rate of group D was higher,the time of fever and hospitalization time of group C and group D were shorter,the frequency of abdominal pain of group C and group D was lower,the after treatment long and short diameter of intestinal lymph nodes of group C and group D were decreased,and the recurrence rate of group C and group D within 2 months after treatment was decreased(P<0.05);Compared with those of group C,the effective rate of group D was higher,the time of fever and hospitalization of group D were shorter,theafter treatment long and short diameter of intestinal lymph nodes of group D were decreased,and the recurrence rate within 2 months after treatment of group D was decreased(P<0.05).Compared with those of the same group before treatment,the after treatment long and short diameter of intestinal lymph nodes in four groups decreased(P<0.05).There was no significant difference in the adverse reactions rate among the four groups(P>0.05).[Conclusion]Xiaojianzhong decoction,moxibustion and ultrashort wave combined therapy can improve the curative effect and prognosis of mesenteric lymphadenopathy in children,which is worthy of clinical application.
作者
沈文清
温乐萍
陈燕美
SHEN Wenqing;WEN Leping;CHEN Yanmei(Rehabilitation Department of Traditional Chinese Medicine the Second Maternal and Child Health Center of Huizhou City,Huizhou 516001,China)
出处
《河南大学学报（医学版）》
CAS
2020年第2期122-125,134,共5页
Journal of Henan University:Medical Science
关键词
小建中汤加减
灸法
超短波
小儿
肠系膜淋巴结肿大
疗效
预后
xiaojianzhong decoction
moxibustion
ultrashort wave
children
mesenteric lymphadenopathy
curative effect
prognosis
