摘要
【目的】探讨理气化浊汤联合针刺四缝穴治疗小儿气滞血瘀型肠系膜淋巴结炎的临床疗效。【方法】将60例气滞血瘀型肠系膜淋巴结炎患儿随机分为对照组和治疗组,每组各30例。对照组给予口服头孢克肟或磷酸奥司他韦颗粒治疗,治疗组给予理气化浊汤联合针刺四缝穴治疗,疗程为1周。观察2组患儿治疗前后中医证候积分和肠系膜淋巴结长、短径的变化情况,比较2组患儿的临床疗效和复发率。【结果】(1)研究过程中,有3例患儿(对照组1例、治疗组2例)脱落,最终对照组29例、治疗组28例患儿完成试验。(2)治疗1周后,治疗组的总有效率为96.43%(27/28),对照组为82.76%(24/29),组间比较,治疗组的疗效明显优于对照组(P<0.05)。(3)治疗后,2组患者的中医证候积分均较治疗前明显降低(P<0.01),且治疗组对中医证候积分的降低作用明显优于对照组(P<0.01)。(4)治疗后,2组患儿的肠系膜淋巴结长、短径均较治疗前明显缩小(P<0.01),且治疗组对肠系膜淋巴结长径的缩小作用明显优于对照组(P<0.01)。(5)治疗组的复发率为10.71%(3/28),明显低于对照组的48.28%(14/29),组间比较,差异有统计学意义(P<0.05)。【结论】理气化浊汤联合针刺四缝穴治疗小儿肠系膜淋巴结炎疗效确切,其疗效优于常规西药治疗。
Objective To investigate the clinical efficacy of Liqi Huazhuo Decoction combined with acupuncture therapy at Sifeng points(EX-UE10)in treating infantile mesenteric lymphadenitis(ML)of qi stagnation and blood stasis type.Methods Sixty children with ML of qi stagnation and blood stasis syndrome were randomly divided into control group and treatment group,with 30 cases in each group.The control group was treated with oral administration of Cefixime or Oseltamivir phosphate granules,while the treatment group was treated with Liqi Huazhuo Decoction orally combined with acupuncture therapy at Sifeng points(EX-UE10),and the course of treatment covered one week.The changes of traditional Chinese medicine(TCM)syndrome scores as well as the long diameter and short diameter of the mesenteric lymph node were observed before and after treatment,and the clinical efficacy and recurrence rate of the two groups were compared.Results(1)During the trial,there were3 children(one case from the control group and 2 cases from the treatment group)fell off,and finally 29 children in the control group and 28 children in the treatment group completed the trial.(2)After one week of treatment,the total effective rate of the treatment group was 96.43%(27/28),and that of the control group was 82.76%(24/29).The intergroup comparison showed that the curative effect of the treatment group was significantly superior to that of the control group(P<0.05).(3)After treatment,the scores of TCM syndromes in both groups were significantly decreased compared with those before treatment(P<0.01),and the effect on lowering the syndrome scores in the treatment group was significantly superior to that in the control group(P<0.01).(4)After treatment,the long diameter and short diameter of mesenteric lymph nodes in the two groups were significantly reduced compared with those before treatment(P<0.01),and the effect on reducing the long diameter in the treatment group was significantly superior to that in the control group(P<0.01).(5)The recurrence rate of the t
作者
程浣彤
吴智华
梁妙珍
林晓洁
CHENG Huan-Tong;WU Zhi-Hua;LIANG Miao-Zhen;LIN Xiao-Jie(Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2022年第4期817-823,共7页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
肠系膜淋巴结炎
小儿
气滞血瘀型
理气化浊汤
针刺
四缝穴
mesenteric lymphadenitis
children
qi stagnation and blood stasis type
Liqi Huazhuo Decoction
acupuncture
Sifeng points(EX-UE10)
