点刺放血配合中药治疗儿童急性化脓性扁桃体炎的疗效观察OACSTPCD

Objective To observe the clinical efficacy of bloodletting at Shaoshang(LU11)and Shangyang(LI1)plus Lan Qin oral liquid in treating acute suppurative tonsillitis in children.Method Seventy-two patients with acute suppurative tonsillitis were randomized into a control group of 40 cases and a research group of 32 cases.The control group was treated with oral administration of Lan Qin oral liquid,and the research group was given bloodletting at Shaoshang and Shangyang points plus Lan Qin oral liquid.The defervescence time,time for tonsil redness and swelling to subside,and relief time of the sore throat were recorded.The following indexes were observed before and after the treatment in both groups:symptom and sign scores,laboratory indexes[peripheral blood white blood cell(WBC)and neutrophilic granulocyte(GRA)counts,tumor necrosis factor-α(TNF-α),C-reactive protein(CRP),interleukin-2(IL-2),interleukin-17(IL-17)],and T-lymphocyte indicators(CD3﹢,CD4﹢,CD8﹢,and CD4﹢/CD8﹢).Result The total effective rate was 93.8% in the research group,significantly higher than 75.0% in the control group(P＜0.05).In both groups,the symptom and sign scores and the levels of CD8﹢,WBC,GRA,TNF-α,CRP,and IL-17 dropped significantly,and the levels of CD3﹢,CD4﹢,CD4﹢/CD8﹢,and IL-2 increased significantly(P＜0.05).The research group took a shorter time to subside the fever,tonsil redness and swelling,and sore throat than the control group;the symptom and sign scores and the levels of CD8﹢,WBC,GRA,TNF-α,CRP,and IL-17 were lower and the levels of CD3﹢,CD4﹢,CD4﹢/CD8﹢,and IL-2 were higher in the research group than in the control group after the treatment,all showing statistical significance(P＜0.05).Conclusion Bloodletting at Shaoshang(LU11)and Shangyang(LI1)plus Lan Qin oral liquid is effective for acute suppurative tonsillitis in children.This method can reduce the inflammatory level by regulating cellular immunity,thus accelerating the relief of symptoms and signs.