针刺放血结合青霉素治疗小儿急性扁桃体炎疗效观察

Efficacy observation of acupuncture bloodletting and penicillin on treatment of children acute tonsillitis

目的:观察针刺放血、青霉素、针刺放血结合青霉素治疗小儿急性扁桃体炎的疗效差异,为临床提供更好的治疗方法。方法:选取75例轻症患儿纳入轻症区,75例重症患儿纳入重症区。轻症区和重症区再分别按照随机数字表法分为针刺放血组、青霉素组和综合组,每组各25例。针刺放血组穴取曲池、合谷、大椎针刺,少商、耳尖放血,青霉素组采用青霉素钠注射液静脉滴注,综合组采用针刺放血和青霉素联合治疗。轻症区3天后、重症区5天后进行疗效评估。结果:轻症区综合组总有效率为96.0%(24/25),针刺放血组为92.0%(23/25),均优于青霉素组的68.0%(17/25,P<0.05)。综合组与针刺放血组疗效差异无统计学意义(P>0.05)。重症区综合组总有效率为96.0%(24/25),明显优于针刺放血组60.0%(15/25,P<0.01),也优于青霉素组的68.0%(17/25,P<0.05),针刺放血组与青霉素组疗效差异无统计学意义(P>0.05)。结论:针刺放血结合青霉素治疗小儿急性扁桃体炎全身伴随症状较轻时疗效与针刺放血差别不大,两者均优于青霉素钠静脉滴注;全身伴随症状较重时疗效明显优于针刺放血,也优于青霉素钠静脉滴注。

Objective To observe differences of therapeutic effects among acupuncture bloodletting, penicillin and acupuncture bloodletting combined with penicillin for children acute tonsillitis and providea better treatment method in cli- nic. Methods Seventy-five mild cases were selected into section of mild symptoms while seventy-five severe cases were selected into section of severe symptoms. Cases in the two sections then were divided into, an acupuncture bloodletting group, a penicillin group and a comprehensive group by random digital table method separately, 25 cases in each one. Qu- ehi （LI 11）, Hegu （LI 4）, Dazhni （GV 14）, Shaoshang （LU 11） and Erjian （EX 11） were selected in the acupuncture bloodletting group, intravenous injection of penicillin sodium was applied in the penicillin group and acupuncture bloodlet- ting combined with penicillin was applied in the comprehensive group. Efficacy assessment was conducted after 3 days in the section of mild symptoms and after 5 days in the section of severe symptoms. Results For the section of mild symp- toms, the total effective rate was 96.0% （24/25） in the comprehensive group and 92. 0% （23/25） in the acupuncture bloodletting group, which were both superior to 68.0% （17/25） in the penicillin group （P〈0.05）, but no statistical sig- nificance was seen between the comprehensive group and acupuncture bloodletting group （P〉0.05）. For the section of severe symptoms, the total effective rate was 96.0% （24/25） in the comprehensive group, which was obviously superior to 60. 0% （15/25） in the acupuncture bloodletting group （P〈0.01） and 68.0% （17/25） in the penicillin group （P〈0. 05）, and no statistical significance was seen between the acupuncture bloodletting group and penicillin group （P〉0.05）. Conclusion The efficacy of acupuncture bloodletting combined with penicillin is little different from that of acupuncture bloodletting for treatment of children acute tonsillitis with mild accompanied symptoms, which were both superior to intra- venous injection of penicillin sodium. For severe accompanied symptoms, the efficacy of acupuncture bloodletting combined with penicillin is obviously superior to acupuncture bloodletting and penicillin.