目的观察血虚型腺样体伴扁桃体肥大患儿切除术术后应用芍药四物解肌汤的临床效果。方法选择2020年7月1日—2022年6月30日首都医科大学附属北京中医医院耳鼻咽喉科病房接受扁桃体伴腺样体切除术的、辨证属血虚证的患儿120例,采用随机数...目的观察血虚型腺样体伴扁桃体肥大患儿切除术术后应用芍药四物解肌汤的临床效果。方法选择2020年7月1日—2022年6月30日首都医科大学附属北京中医医院耳鼻咽喉科病房接受扁桃体伴腺样体切除术的、辨证属血虚证的患儿120例,采用随机数表法按照1∶1比例分为2组,观察组60例,术后给予口服芍药四物解肌汤口服,连续服药1周;对照组60例,术后给予头孢呋辛钠静脉滴注,每8 h 1次,连续用药1周。观察2组术后发热情况及手术前后实验室指标变化、面部表情疼痛量表(FPS-R)评分、术区伪膜情况及中医证候评分。结果观察组中度以上发热率低于对照组(P<0.05),发热时间短于对照组(P<0.05)。术后第1、第3天,2组白细胞(WBC)、C反应蛋白(CRP)水平与术前比较,差异均有统计学意义(P<0.05),2组间差异亦有统计学意义(P<0.05)。2组术前及术后4 h的FPS-R评分差异无统计学意义(P>0.05);术后第3日,观察组FPS-R评分低于对照组(P<0.05)。观察组伪膜脱落时间较对照组早(P<0.05)。术后,2组各项中医证候评分均较术前降低(P<0.05);2组面色眼睑及唇甲色白评分比较,差异无统计学意义(P>0.05);观察组头晕、乏力、大便不通评分均低于对照组,差异有统计学意义(P<0.05)。结论应用芍药四物解肌汤可减轻或避免发生扁桃体伴腺样体切除术术后不良反应,利于促进血虚型患儿术后康复。展开更多
Objective To observe the clinical efficacy of Tuina(Chinese therapeutic massage)manipulation for pediatric adenoid hypertrophy(AH).Methods A total of 60 children with AH were randomized into an observation group and a...Objective To observe the clinical efficacy of Tuina(Chinese therapeutic massage)manipulation for pediatric adenoid hypertrophy(AH).Methods A total of 60 children with AH were randomized into an observation group and a medication group,with 30 cases in each group.The observation group was treated with pediatric Tuina treatment,and the medication group was treated with 0.05%mometasone furoate nasal spray.The changes of main clinical symptom score,quality of life(QOL)score and X-ray nasopharynx lateral film were observed,and the clinical efficacy was evaluated.Results The total effective rate of the observation group was 90.0%,and that of the medication group was 66.7%.The difference between the two groups was statistically significant(P<0.05).After treatment,the A/N value[ratio of adenoid thickness(A)and nasopharyngeal cavity width(N)]of posterior nasopharyngeal lateral film did not show significant change in either group(P>0.05).After treatment,the clinical symptom scores in both groups decreased,and the intra-group differences were statistically significant(P<0.001),but there was no statistical difference between the two groups(P>0.05).After treatment,the QOL scores of children in both groups decreased,and the intra-group differences were statistically significant(P<0.001),and the difference between the two groups was statistically significant(P<0.001).Conclusion Tuina manipulation is effective in treating pediatric AH,and produces a better effect in improving traditional Chinese medicine symptoms and QOL than 0.05%mometasone furoate nasal spray.展开更多
文摘目的观察血虚型腺样体伴扁桃体肥大患儿切除术术后应用芍药四物解肌汤的临床效果。方法选择2020年7月1日—2022年6月30日首都医科大学附属北京中医医院耳鼻咽喉科病房接受扁桃体伴腺样体切除术的、辨证属血虚证的患儿120例,采用随机数表法按照1∶1比例分为2组,观察组60例,术后给予口服芍药四物解肌汤口服,连续服药1周;对照组60例,术后给予头孢呋辛钠静脉滴注,每8 h 1次,连续用药1周。观察2组术后发热情况及手术前后实验室指标变化、面部表情疼痛量表(FPS-R)评分、术区伪膜情况及中医证候评分。结果观察组中度以上发热率低于对照组(P<0.05),发热时间短于对照组(P<0.05)。术后第1、第3天,2组白细胞(WBC)、C反应蛋白(CRP)水平与术前比较,差异均有统计学意义(P<0.05),2组间差异亦有统计学意义(P<0.05)。2组术前及术后4 h的FPS-R评分差异无统计学意义(P>0.05);术后第3日,观察组FPS-R评分低于对照组(P<0.05)。观察组伪膜脱落时间较对照组早(P<0.05)。术后,2组各项中医证候评分均较术前降低(P<0.05);2组面色眼睑及唇甲色白评分比较,差异无统计学意义(P>0.05);观察组头晕、乏力、大便不通评分均低于对照组,差异有统计学意义(P<0.05)。结论应用芍药四物解肌汤可减轻或避免发生扁桃体伴腺样体切除术术后不良反应,利于促进血虚型患儿术后康复。
文摘Objective To observe the clinical efficacy of Tuina(Chinese therapeutic massage)manipulation for pediatric adenoid hypertrophy(AH).Methods A total of 60 children with AH were randomized into an observation group and a medication group,with 30 cases in each group.The observation group was treated with pediatric Tuina treatment,and the medication group was treated with 0.05%mometasone furoate nasal spray.The changes of main clinical symptom score,quality of life(QOL)score and X-ray nasopharynx lateral film were observed,and the clinical efficacy was evaluated.Results The total effective rate of the observation group was 90.0%,and that of the medication group was 66.7%.The difference between the two groups was statistically significant(P<0.05).After treatment,the A/N value[ratio of adenoid thickness(A)and nasopharyngeal cavity width(N)]of posterior nasopharyngeal lateral film did not show significant change in either group(P>0.05).After treatment,the clinical symptom scores in both groups decreased,and the intra-group differences were statistically significant(P<0.001),but there was no statistical difference between the two groups(P>0.05).After treatment,the QOL scores of children in both groups decreased,and the intra-group differences were statistically significant(P<0.001),and the difference between the two groups was statistically significant(P<0.001).Conclusion Tuina manipulation is effective in treating pediatric AH,and produces a better effect in improving traditional Chinese medicine symptoms and QOL than 0.05%mometasone furoate nasal spray.
