小儿汗证中药内外兼治的临床研究

Clinical Study on Treatment of Infantile Sweat Syndrome with Chinese Medicine

目的:探讨小儿汗证中药内外兼治的临床效果方法:选取2020年5月至2021年2月昆明市儿童医院收治的40例确诊为汗证者(2~12岁)为研究对象,随机分成两组,各20例。对照组患儿采用丹溪玉屏风颗粒治疗;观察组患儿采用中药内外兼治治疗4周后,进行两组患儿的疗效评价及中医证候积分评价;并采用视触觉模拟量表评价两组患儿汗证改善情况及治疗期间安全性。结果:观察组患儿治疗总有效率为90.0%,显著优于对照组的55.0%,差异具有统计学意义(P<0.05);治疗后,两组患儿中医证候积分和出汗症状积分均明显降低,且观察组低于对照组,差异具有统计学意义(P<0.05);治疗期间两组患儿均无明显不良反应。结论:中药内外兼治用于临床治疗小儿汗证疗效显著且安全。

Objective To explore the clinical effect of traditional Chinese medicine taken orally and externally in the treatment of infantile sweat syndrome.Methods From May 2020 to February 2021,40 patients(2-12 years old)diagnosed with sweat syndrome admitted to Kunming Children's Hospital were selected as the research subjects,and they were randomly divided into two groups with 20 cases in each group.Patients in the control group were treated with Danxi Yupingfeng granules;patients in the observation group were treated with traditional Chinese medicine orally and externally.After 4 weeks of treatment,the efficacy evaluation and TCM syndrome score evaluation of the two groups of patients were performed;the visual-tactile analog scale was used to evaluate the improvement of sweat syndrome and the safety during the treatment period.Results The total effective rate of treatment in the observation group was 90.0%,which was significantly better than 55.0%in the control group.The difference was statistically significant(P<0.05);after treatment,the scores of TCM syndromes and sweating symptoms of the two groups were significantly reduced,And the observation group was lower than the control group,the difference was statistically significant(P<0.05);during the treatment period,there were no obvious adverse reactions in the two groups.Conclusion Traditional Chinese medicine is effective and safe for clinical treatment of infantile sweat syndrome.