紫正地黄汤治疗腺样体炎30例疗效观察

Clinical Effect of Zizheng Dihuang Decoction in Treatment of Adenoiditis:an Analysis of 30 Cases

目的观察新安郑氏喉科名方紫正地黄汤治疗腺样体炎的临床疗效。方法将符合纳入标准的60例腺样体炎患者,按随机数字表法分为治疗组和对照组,每组30例,治疗组用紫正地黄汤加减治疗,对照组用抗生素治疗,分别测定患者治疗前后临床主要症状、体征积分和鼻咽侧位片(吸气相)A/N值。结果两组患者临床疗效分布比较,差异具有统计学意义(P<0.05);治疗后两组患者鼻塞、打鼾、张口呼吸及A/N值较治疗前均显著下降(P<0.05);治疗组鼻塞、打鼾、张口呼吸及A/N值降低值显著高于对照组(P<0.05)。结论紫正地黄汤治疗腺样体炎效果显著。

Objective To investigate the clinical effect of Zizheng Dihuang Decoction,a famous prescription of Xin an Zheng s Laryngology,in the treatment of adenoiditis.Methods A total of 60 patients with adenoiditis who met the inclusion criteria were divided into treatment group and control group using a random number table,with 30 patients in each group.The patients in the treatment group were given modified Zizheng Dihuang Decoction,and those in the control group were given antibiotics.The scores of major symptoms and signs and A/N ratio on nasopharyngeal lateral film(inspiratory phase)were measured before and after treatment.Results There was a significant difference in the distribution of clinical outcomes between the two groups(P<0.05).Both groups had significant reductions in the scores of nasal obstruction,snoring,mouth breathing,and A/N ratio after treatment(P<0.05),and the treatment group had significantly greater reductions in these scores than the control group(P<0.05).Conclusion Zizheng Dihuang Decoction has a significant clinical effect in the treatment of adenoiditis.