泻肺通窍散联合鼻三针对小儿过敏性鼻炎肺经伏热证的治疗效果观察OA
Observation on the Therapeutic Effect of Xiefei Tongqiao Powder Combined with Three Nasal Acupuncture in Children with Allergic Rhinitis with Pattern of Latent Heat in Lung Channel
目的:分析泻肺通窍散联合鼻三针在小儿过敏性鼻炎肺经伏热证中的治疗效果.方法:选取 2021 年 5 月—2022 年 5 月济南市章丘区中医医院收治的 120 例过敏性鼻炎肺经伏热证患儿,按随机数字表法分为两组,各 60 例.对照组给予常规西医治疗,观察组在对照组基础上加以泻肺通窍散联合鼻三针.对比两组临床疗效、中医症候评分、炎症因子水平、免疫功能、不良反应.结果:观察组治疗总有效率为 96.67%(58/60),高于对照组的 86.67%(52/60)(P<0.05);治疗前,两组鼻痒、喷嚏、流涕、鼻塞评分、白介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、降钙素原(PCT)水平、CD3+、CD4+、CD8+比较,差异均无统计学意义(P>0.05);治疗后,观察组鼻痒、喷嚏、流涕、鼻塞评分、IL-6、CRP、TNF-α、PCT水平及CD8+均低于对照组,CD3+、CD4+均高于对照组,差异均有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:泻肺通窍散联合鼻三针在过敏性鼻炎肺经伏热证患儿中效果显著,可缓解患儿各项症状,控制炎症反应,改善免疫功能,且无严重不良反应.
Objective:To analyze the therapeutic effect of Xifei Tongqiao Powder combined with three nasal acupuncture in children with allergic rhinitis with pattern of latent heat in lung channel.Method:A total of 120 children with allergic rhinitis with pattern of latent heat in lung channel treated in Jinan Zhangqiu District Hospital of TCM from May 2021 to May 2022 were selected and divided into two groups according to random number table method,with 60 cases in each group.The control group was treated with conventional western medicine,and the observation group was given Xifei Tongqiao Powder combined with three nasal acupuncture on the basis of the control group.The clinical efficacy,TCM symptoms scores,inflammatory factors levels,immune function and adverse reactions were compared between the two groups.Result:The total effective rate of the observation group was 96.67%(58/60),which was higher than 86.67%(52/60)of the control group(P<0.05).Before treatment,there were no significant differences between the two groups in the scores of nose itching,sneezing,runny snivel and nasal obstruction and the levels of interleukin-6(IL-6),C reactive protein(CRP),tumor necrosis factor-α(TNF-α),procalcitonin(PCT)and CD3+,CD4+ and CD8+(P>0.05).After treatment,the scores of nose itching,sneezing,runny snivel and nasal obstruction,IL-6,CRP,TNF-α,PCT and CD8+ in the observation group were lower than those in the control group,and CD3+ and CD4+ in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The combination of Xifei Tongqiao Powder combined with three nasal acupuncture has a remarkable effect in children with allergic rhinitis with pattern of latent heat in lung channel,which can alleviate various symptoms,control inflammation reaction,improve immune function,and no serious adverse reactions.
杨桂华;彭丽娜
济南市章丘区中医医院儿科 山东 济南 250200
过敏性鼻炎肺经伏热证泻肺通窍散鼻三针免疫功能不良反应炎症因子
Allergic rhinitisPattern of latent heat in lung channelXifei Tongqiao PowderThree nasal acupunctureImmune functionAdverse reactionsInflammatory factors
《中国医学创新》 2024 (010)
1-5 / 5
山东省中医药科技项目(2021M127)
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