防烫式烙灸器具改良烙法治疗小儿慢性扁桃体炎20例临床观察

Clinical observation on the treatment of 20 cases of chronic tonsillitis in children with improved cauterization method by anti⁃scalding moxibustion apparatus

目的观察防烫式烙灸器具改良烙法治疗小儿慢性扁桃体炎的临床疗效及安全性。方法选取2020年9月至2021年9月在宁夏回族自治区中医医院暨中医研究院儿科门诊就诊的慢性扁桃体炎患儿40例,采用随机数字表法分为对照组和治疗组,各20例。对照组采用传统烙法治疗,治疗组采用防烫式烙灸器具改良烙法治疗,2组均烙30次,观察2组治疗前后扁桃体形态大小、扁桃体急性发炎次数和不良事件发生次数。结果治疗前,2组扁桃体形态大小积分比较,差异无统计学意义(P>0.05),具有可比性;1个疗程结束时及治疗结束6个月时,2组的扁桃体形态大小积分均明显下降,与同组治疗前比较,差异均有统计学意义(P<0.05),且治疗组下降更显著(P<0.05);2组治疗结束时与治疗结束6个月时扁桃体形态积分变化不大,经统计学分析,差异无统计学意义(P>0.05)。2组治疗后1年内扁桃体急性发作次数明显下降,与治疗前1年比较,差异有统计学意义(P<0.01),且治疗组发作次数明显少于对照组(P<0.05)。2组在治疗过程中出现患儿烫伤、出血例数比较,差异均无统计学意义(P>0.05);2组感染、医生手指烫伤例数比较,差异有统计学意义(P<0.05)。结论防烫式烙灸器具改良烙法治疗小儿慢性扁桃体炎,不仅可以显著缩小肿大的扁桃体,减少扁桃体急性发炎的次数,而且能减少不良事件发生的次数,疗效显著,值得临床推广应用。

Objective To observe the clinical efficacy and safety of the improved cauterization method by anti⁃scalding moxibustion apparatus in the treatment of chronic tonsillitis in children.Methods Forty children with chronic tonsillitis who were treated at the pediatric outpatient department of the Traditional Chinese Medicine Hospi⁃tal and Research Institute of TCM in Ningxia Hui Autonomous Region from September 2020 to September 2021 were selected.They were randomly divided into a control group and a treatment group using a random number table meth⁃od,with 20 cases in each group.The control group was treated with traditional cauterization,while the treatment group was treated with improved cauterization by anti⁃scalding moxibustion apparatus.Both groups were cauterized 30 times,and the shape and size of the tonsils,the number of acute tonsil inflammation,and the number of adverse events before and after treatment were observed in both groups.Results Before treatment,there was no statistically significant difference(P>0.05)in the score of tonsil morphology and size between the two groups,indicating com⁃parability.At the end of one course of treatment and 6 months after the end of treatment,the tonsil shape and size scores of both groups significantly decreased,and compared with the same group before treatment,the differences were statistically significant(P<0.05),and the decrease was more significant in the treatment group(P<0.05).There was no significant change in tonsil morphology scores between the two groups at the end of treatment and 6 months after treatment.After statistical analysis,the difference was not statistically significant(P>0.05).The number of acute tonsil attacks significantly decreased within one year after treatment in both groups,and the difference was statistically significant compared to the year before treatment(P<0.01).There was no statistically significant differ⁃ence(P>0.05)in the frequency of burns and bleeding in the two groups during the treatment process.There was a statistically significant difference in the number of infections and doctor’s finger burns between the two groups(P<0.05).Conclusion The improved cauterization method by anti⁃scalding moxibustion apparatus can significantly re⁃duce the size of swollen tonsils and the frequency of acute tonsillitis in children.It can also reduce the number of ad⁃verse events and has a significant therapeutic effect,which is worthy of clinical popularization.