自拟辛芷汤联合鼻鼽散穴位贴敷治疗小儿变应性鼻炎临床疗效观察
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(崇州市人民医院,四川 成都 611230)

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四川省中医药管理局项目(2021MS370)

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Clinical Effect of Self-Formulated Xinzhi Soup Combined with Nasal Powder Acupoint Application in Treating Children with Allergic Rhinitis
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(Chongzhou People's Hospital, Chengdu 611230, China)

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    摘要:

    目的 本研究旨在评估自拟辛芷汤联合鼻鼽散穴位贴敷在治疗小儿变应性鼻炎(肺脾气虚型)中的临床效果,并考察其对血清免疫球蛋白E(IgE)的潜在影响。方法 选取110名肺脾气虚型变应性鼻炎的患儿,根据治疗方法的不同,将其分为观察组(55例)与对照组(55例)。对照组接受糠酸莫米松鼻喷雾剂治疗,而观察组则在对照组的基础上,辅以自拟辛芷汤和鼻鼽散穴位贴敷。2组的治疗周期均为4周,治疗结束后,对比2组患儿的临床疗效和化验指标的变化。结果 治疗结束后,观察组患儿的总有效率为92.7%(51/55),显著优于对照组的78.2%(43/55),组间差异具有统计学意义(P<0.05)。2组患儿的中医证候评分、RQLQ评分及IgE水平均较治疗前有所下降(P<0.05),且观察组的这些指标改善程度均显著高于对照组(P<0.05)。结论 采用自拟辛芷汤联合鼻鼽散穴位贴敷治疗小儿变应性鼻炎(肺脾气虚型),能有效缓解患儿的临床症状,显著降低中医证候积分和RQLQ评分,同时减少过敏指标水平,具有显著的临床应用价值。

    Abstract:

    Objective The purpose of this study was to evaluate the clinical effect of self-administered Xinzhi Soup combined with nasal powder acupoint application in the treatment of pediatric allergic rhinitis(pulmonary temper deficiency) and to investigate its potential impact on serum immunoglobulin E(IgE). Methods 110 children with allergic rhinitis were selected and divided into observation group(55 cases) and control group(55 cases) according to different treatment methods. The control group received mometasone furoate nasal spray, while the observation group was supplemented with self-prepared zhi soup and nasal loose acupoint application on the basis of the control group. The treatment cycle of both groups was 4 weeks, and after the treatment, the clinical efficacy and laboratory indicators of the two groups were compared. Results After the end of treatment, the total response rate of the observation group was 92.7% (51/55), which was significantly better than 78.2%(43/55) of the control group, and the difference between the groups was statistically significant(P<0.05). The TCM syndrome score, RQLQ score and IgE level decreased compared with those before treatment(P<0.05), and the improvement of these indicators in the observation group was significantly higher than that in the control group(P<0.05). Conclusion The use of self-prepared Xinzhi soup combined with nasal powder acupoint application to treat pediatric allergic rhinitis(lung temper deficiency) can effectively relieve the clinical symptoms of children, significantly reduce the TCM syndrome score and RQLQ score, and reduce the level of allergy index, which has significant clinical application value.

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  • 收稿日期:2024-11-21
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  • 在线发布日期: 2024-12-27
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