柴胡疏肝散加减联合西药治疗小儿肠系膜淋巴结炎60例

Modified Bupleurum Relieving Liver-qi Powder Combined with Western Medicine in Treatment of 60 Cases of Children with Mesenteric Lymphadenitis

目的 研究小儿肠系膜淋巴结炎采用柴胡疏肝散加减联合西药治疗的效果。方法 选取2018年3月-2020年3月东莞市第八人民医院收治的60例小儿肠系膜淋巴结炎患儿为研究对象,随机分为研究组与对照组,对照组患儿均接受常规西药治疗,研究组则采取柴胡疏肝散加减联合西药治疗,对比两组患儿治疗后肠系膜淋巴结大小变化及中医症候改善情况。结果 研究组患儿治疗总有效率为93.33%,高于对照组(P<0.05);治疗后,两组患儿腹痛、恶心呕吐积分均较治疗前明显降低,其中研究组较对照组降低更为显著(P<0.05)。结论 小儿肠系膜淋巴结炎采用柴胡疏肝散加减联合西药治疗有效改善了患儿腹痛等临床症状,且腹部肠系膜淋巴结肿大明显减轻,值得推广。

Objective To study effect of bupleurum relieving liver-qi powder combined with western medicine on mesenteric lymphadenitis of children.Methods The paper chose 60 children with mesenteric lymphadenitis treated in our hospital from March 2018 to March 2020,and divided them into study group and control group randomly.Control group was treated with routine western medicine,and study group with bupleurum relieving liver-qi powder combined with western medicine.Changes of mesenteric lymph node size and TCM symptoms improvement after treatment were compared between two groups.Results Total effective rate of study group was 93.33%,higher than control group (P<0.05);after treatment,scores of abdominal pain,nausea and vomiting in two groups were significantly lower than before treatment,especially in study group,(P<0.05).Conclusion Bupleurum relieving liver-qi powder combined with western medicine can reduce symptoms of abdominal lymphadenitis of children with mesenteric lymphadenitis significantly,which is worthy of promotion.