中西医结合治疗儿童过敏性鼻炎的临床观察

Clinical Observation on Integrated Chinese and Western Medicine Treatment to Pediatric Allergic Rhinitis

目的观察飞针疗法联合口服氯雷他定片和鼻用糠酸莫米松喷雾剂治疗儿童过敏性鼻炎的临床疗效。方法将150例过敏性鼻炎患儿按随机数字表法分为中医治疗组(飞针疗法)、西医治疗组(口服氯雷他定片和鼻用糠酸莫米松喷雾剂)和中西医结合治疗组(氯雷他定片、鼻用糠酸莫米松喷雾剂及飞针疗法结合治疗),每组50例,均持续治疗4周。观察各组儿童治疗前后症状评分、体征评分及治疗后随访3个月的复发率。结果与本组治疗前比较,各组治疗后症状评分降低(P<0.05),西医治疗组和中西医结合治疗组体征评分减低(P<0.05)。治疗后中西医结合治疗组总有效率91.8%(45/49)高于中医治疗组[64.0%(32/50)]和西医治疗组[79.6%(39/49),χ2=11.4,P<0.05];随访3个月中西医治疗组复发率6.7%(3/45)低于中医治疗组[28.1%(9/32)]和西医治疗组[25.6%(10/39),χ2=7.31,P<0.05]。结论中西医结合疗法治疗小儿过敏性鼻炎较单独中医或西医疗法能有效减轻鼻炎症状,降低复发率。

Objective To observe the clinical efficacy of flying needle therapy combined with oral Ioratadine and mometasone furoate nasal spray in the treatment of pediatric allergic rhinitis. Methods Totally 150 pediatric allergic rhinitis patients were assigned to Chinese medicine treatment group （flying needle therapy）, Western rnedicine treatment group （orally Ioratadine and mometasone furoate nasal spray）, and integrated Chinese and Western medicine group （Ioratadine, mometasone furoate nasal spray and flying needle therapy） by random digit table, 50 in each group. All received four weeks of treat- ment. The symptom score, physical sign score before and after treatment were observed. The recur- rence rate were observed after 3 months follow-up. Results Compared with before treatment, the symp- tom scores were reduced in each group （P 〈0.05）, the physical sign scores of the Western medicine treatment group and the integrated Chinese and Western medicine treatment group were also reduced （P 〈0.05）. After treatment, the total effective rate of the integrated Chinese and Western treatment group was 91.8% （45/49）, which was higher than the Chinese medicine group [64.0% （9/32）] and the Western medicine treatment group [79.6%（39/49）,χ2 =11.4,P〈0.05].The recurrence rate of the in- tegrated Chinese and Western medicine treatment group was 6.7% （3/45） in the 3 months follow-up, which was lower than the traditional Chinese medicine treatment group 28.1% （9/32） and the Western medicine treatment group 25.6% （10/39,χ2 =7.31, P〈0.05）. Conclusions The combination of Chi- nese and Western medicine is better than Chinese medicine or Western medicine Jn the treatment of pedi- atric allergic rhinitis. It can effectively ease the symptoms of rhinitis and reduce the recurrence rate.