小儿止鼾通畅方联合西医治疗小儿肺脾气虚型腺样体肥大的效果OA
The Effect of Xiaoer Zhihan Tongchang Formula Combined with Western Medicine on Adenoid Hypertrophy Children of Lung Spleen Qi Deficiency Type
目的:探讨小儿止鼾通畅方联合西医治疗小儿肺脾气虚型腺样体肥大的效果.方法:选取2023 年 1 月—2024 年 4 月于清远市中医院就诊的 120 例肺脾气虚型腺样体肥大患儿,随机分为对照组和研究组,每组60例.对照组给予西医治疗,研究组在对照组基础上联合小儿止鼾通畅方治疗.治疗12周后,比较两组的临床疗效、临床症状消失时间、腺样体肥大程度.治疗后6个月和治疗后1年进行复查,比较两组的复发率.治疗后观察 1 年时间,比较两组的手术率.结果:治疗 12 周后,研究组好转率高于对照组(P<0.05).研究组鼻塞消失时间和打鼾消失时间早于对照组(P<0.05).治疗 12 周后,研究组腺样体肥大程度优于对照组(P<0.05).两组治疗后 6 个月复发率比较,差异无统计学意义(P>0.05);研究组治疗后 1 年复发率、手术率低于对照组(P<0.05).结论:小儿止鼾通畅方联合西医治疗能够有效改善肺脾气虚型腺样体肥大患儿的临床症状,缩小腺样体肥大程度,降低1年复发率和手术率.
Objective:To explore the effect of Xiaoer Zhihan Tongchang Formula combined with western medicine on adenoid hypertrophy children of lung spleen Qi deficiency type.Method:A total of 120 children with adenoid hypertrophy of lung spleen Qi deficiency type who were treated at Qingyuan Hospital of Traditional Chinese Medicine from January 2023 to April 2024 were selected and randomly divided into control group and study group,with 60 cases in each group.The control group was treated with western medicine,while the study group was treated with Xiaoer Zhihan Tongchang Formula on the basis of the control group.After 12 weeks of treatment,the clinical efficacy,disappearance time of clinical symptoms and the degree of adenoid hypertrophy were compared between the two groups.Re-examinations were conducted 6 months and 1 year after treatment to compare the recurrence rate of the two groups.The operation rate of the two groups was compared after one year of observation following the treatment.Result:After 12 weeks of treatment,the improvement rate of the study group was higher than that of the control group(P<0.05).The disappearance time of nasal congestion and snoring in the study group were earlier than those in the control group(P<0.05).After 12 weeks of treatment,the degree of adenoid hypertrophy in the study group was better than that in the control group(P<0.05).There was no statistically significant difference in the recurrence rate between the two groups 6 months after treatment(P>0.05).The recurrence rate and surgical rate of the study group one year after treatment were lower than those of the control group(P<0.05).Conclusion:Xiaoer Zhihan Tongchang Formula combined with western medicine has a good therapeutic effect on adenoid hypertrophy children of lung spleen Qi deficiency type,which can effectively improve clinical symptoms,reduce the degree of adenoid hypertrophy and lower the one-year recurrence rate and surgical rate.
文燕;谢俏辰
清远市中医院儿科 广东 清远 511500清远市中医院儿科 广东 清远 511500
医药卫生
小儿止鼾通畅方腺样体肥大肺脾气虚型复发
Xiaoer Zhihan Tongchang FormulaAdenoid hypertrophyLung spleen Qi deficiency typeRecurrence
《中国医学创新》 2026 (14)
120-124,5
清远市2022年科技计划项目(2022ZCJF)
评论