自拟鼻炎方治疗小儿慢性鼻炎56例临床研究

Clinical observation on treating 56 cases of chronic rhinitis in children with the Biyan granule

目的：观察自拟鼻炎方治疗小儿慢性鼻炎的效果,探讨中药治疗小儿慢性鼻炎的优势。方法：选取2012年1月-2013年12月门诊收治的并符合纳入标准的106例病例,随机分为实验组56例,对照组50例。实验组给予自拟鼻炎方免煎颗粒口服,先熏后服;对照组给予盐酸氨溴索口服溶液口服,两组均给予局部糖皮质激素内舒拿喷鼻,治疗2~3周。观察两组主要症状、体征的变化,比较治疗效果及复发率。结果：实验组治愈24例,好转28例,无效4例,总有效率为92.86%;对照组治愈12例,好转26例,无效12例,总有效率为76.00%;差异有统计学意义（P〈0.05）。两组3个月、6个月复发率比较,P〈0.05,差异有统计学意义。结论：中医从整体出发,病证结合个体化治疗小儿慢性鼻炎较西医更有优势。

Objective： To observe clinical effects of the Biyan granule on ohronic rhinitis in children, and investigate advantages of TCM medicine for chronic rhinitis in children. Methods： 106 patients were randomly divided into the experimental group of 56 cases and the control group of 50 cases. The experimental group received the Biyan granule; and the control group was treated with Ambroxol oral liquid. The treatment lasted for 2 to 3 weeks. The change of main symptoms and signs was observed. Results： In the experimental group, 24 cases were cured; 28 cases were better; 4 cases were invalid; the total efficiency was 92.86%. In the control group, 12 cases were cured; 26 cases were better; 12 cases were invalid; the total efficiency was 76.00%. In 3 months and 6 months, there was statistical difference of palindromia between groups, P〈0.05. Conclusion： Treating chronic rhinitis in children in TCM syndrome differentiation was effective, better than western medicine.