中西医结合治疗小儿颈部淋巴结炎的临床观察

Clinical Observation on the Treatment of Neck Lymphadenitis in Children With the Combination of Traditional Chinese and Western Medicine

目的观察中西医结合治疗小儿颈部淋巴结炎的临床疗效。方法选取2017年12月—2018年12月符合小儿急性非化脓性颈部淋巴结炎诊断的120例门诊病例,按随机数字表分为中西医结合组66例和西医组54例,两组均严格按急性颈部淋巴结炎处理标准,给予西药抗感染及退热等支持治疗,中西医结合组则在此基础上予蒲地蓝口服及万应膏外敷治疗,疗程均为7天。观察比较两组总有效率、淋巴结肿痛消失及完全热退时间,比较两组治疗后肿大淋巴结缩小情况,并将观察数据进行统计学分析比较。结果中西医组淋巴结肿痛消失时间(3.54±1.49)d,完全热退时间(1.74±0.52)d、治疗后淋巴结较前缩小值(1.61±0.55)cm,西医组淋巴结肿痛消失时间(4.66±1.45)d,完全热退时间(3.09±1.01)d、淋巴结较治疗前缩小值(0.96±0.30)cm,经统计学比较,中西医组在淋巴结肿痛消失及完全热退时间上均较西医组短(P<0.05),且淋巴结缩小值与西医组差异有统计学意义(P<0.05);中西医组总有效率98.39%,西医组总有效率86.36%,中西医组总有效率优于西医组(P<0.05)。结论中西医结合治疗小儿急性非化脓性颈部淋巴结炎较西医疗效更显著,且能较快缓解淋巴结肿痛症状,缩短热退时间,改善肿大淋巴结。

Objective To observe the clinical effect of Integrated Chinese and Western medicine in the treatment of lymphadenitis in the neck of children.Methods From Dec 2017 to Dec 2018,120 cases of acute nonsuppurative cervical lymphadenitis in children were selected.According to the random number table,66 cases were divided into the treatment group of integrated traditional Chinese and Western medicine and 54 cases in the western medicine group.Both groups were given western medicine for antiinfection and antipyretic treatment according to the treatment standard of acute cervical lymphadenitis strictly.On this basis,the integrated group was given Pudilan orally and Wanying ointment for external application.The course of treatment was 7 days.The total effective rate,the disappearance time of lymph node swelling and pain,and the time of complete fever regression were observed and compared between the two groups.The enlarged lymph node shrinkage was compared after treatment,and the observed data were statistically analyzed and compared.Results The disappearance time of lymph node swelling and pain was(3.54±1.49)d,the complete fever regression time was(1.74±0.52)d,the lymph node shrinkage value was(1.61±0.55)cm after treatment,the disappearance time of lymph node swelling and pain was(4.66±1.45)d,the complete fever regression time was(3.09±1.01)d,and the lymph node shrinkage value was(0.96±0.30)cm before treatment in the Western and Chinese medicine groups.Western medicine group was shorter(P<0.05),and the lymph node shrinkage value was more obvious than that of Western medicine group(P<0.05);the total effective rate of Chinese and Western medicine group was 98.39%,and that of Western medicine group was 86.36%.Compared with the two groups,the total effective rate of Chinese and Western medicine group was significantly better than that of Western medicine group(P<0.05).Conlunsion The treatment of acute non-suppurative cervical lymphadenitis in children with integrated traditional Chinese and Western medicine is more effective than western medicine,and can relieve the symptoms of lymph node swelling and pain faster,shorten the time of fever regression,and improve the enlarged lymph nodes.