参苓白术散加减联合耳穴压豆治疗小儿腺样体肥大的临床效果

Clinical Effect of Modified Shenling Baizhu Powder Combined with Ear-point Pressure Beans on Children with Adenoid Hypertrophy

目的:研究参苓白术散加减联合耳穴压豆治疗小儿腺样体肥大的临床效果。方法:选取2022年8月—2023年8月佛山市南海区妇幼保健院收治的80例腺样体肥大患儿。根据数字表随机抽取法将其分为观察组和对照组,各40例。对照组采取西医基础治疗,观察组在对照组基础上采取参苓白术散加减联合耳穴压豆治疗。比较两组治疗前后中医症候积分、鼻腔阻塞症状量表(NOSE)评分、腺样体/鼻咽腔(A/N值)、生活质量及临床疗效、不良反应。结果:治疗后,观察组鼻塞、张口呼吸、睡时打鼾、黄色黏稠涕评分及总积分均低于治疗前,鼻塞、张口呼吸、睡时打鼾、黄色黏稠涕评分及总积分均低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组NOSE评分和A/N值均降低,观察组NOSE评分和A/N值均低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组情绪症状、睡眠障碍、身体状况、监护人关心的问题、白天功能评分及总分均降低,情绪症状、睡眠障碍、身体状况、监护人关心的问题、白天功能评分及总分均低于对照组,差异有统计学意义(P<0.05)。观察组总有效率高于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(χ^(2)=0.213,P=0.644)。结论:小儿腺样体肥大采用参苓白术散加减与耳穴压豆联合治疗的效果显著,可明显改善患儿的临床症状和鼻腔阻塞程度,提升生活质量,优于单用西医治疗,安全可靠。

Objective:To study the clinical effect of modified Shenling Baizhu Powder combined with ear-point pressure beans on children with adenoid hypertrophy.Method:A total of 80 children with adenoid hypertrophy treated in Nanhai District Maternal and Child Health Hospital of Foshan City from August 2022 to August 2023 were selected.The patients were divided into observation group and control group,with 40 cases in each group.The control group was treated with western medicine,and the observation group was treated with modified Shenling Baizhu Powder combined with ear-point pressure beans.Traditional Chinese medicine syndrome score,nasal obstruction symptom scale(NOSE)score,adenoidal nasopharyngeal(A/N)value,quality of life before and after treatment,clinical efficacy and adverse reactions were compared between the two groups.Result:After treatment,scores of nasal congestion,open mouth breathing,snoring during sleep and yellow sticky nose and total score in observation group were lower than those before treatment,and scores of nasal congestion,open mouth breathing,snoring during sleep and yellow sticky nose and total score were lower than those in control group,the differences were statistically significant(P<0.05).After treatment,NOSE score and A/N values in the observation group were decreased,and NOSE score and A/N values in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the emotional symptoms,sleep disorders,physical conditions,guardian concerns and daytime function scores and total score of the observation group were all decreased,and the emotional symptoms,sleep disorders,physical conditions,guardian concerns and daytime function scores and total score were all lower than those of the control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(χ^(2)=0.213,P=0.644).Conclusion:Modified Shenling Baizhu Powder combined with ear-point pressure bean in the treatment of children with adenoid hypertrophy has a significant effect,which can significantly improve the clinical symptoms and nasal obstruction degree of children,and improve the quality of life,which is superior to western medicine treatment alone,safe and reliable.