【摘要】：目的：本研究觀察夷芎湯配灸法在治療小兒變應(yīng)性鼻炎(風(fēng)寒犯肺證)的臨床療效,旨在闡明中醫(yī)中藥及灸法治療小兒變應(yīng)性鼻炎的優(yōu)越性。從而拓展治療小兒變應(yīng)性鼻炎的治療途徑,并為本病的中醫(yī)藥治療研究積累一定素材。 方法：研究以60例符合小兒變應(yīng)性鼻炎診斷,年齡在2歲以上患兒為對象,隨機(jī)按1：1分為治療組、中藥對照組各30例。治療組給予口服夷芎湯配灸百會穴的聯(lián)合治療方法,中藥對照組只予夷芎湯口服,療程為14天。治療過程前后觀察并記錄兩組患兒臨床癥狀、體征的變化及計分。最終將收集資料整理,進(jìn)行統(tǒng)計學(xué)處理和治療結(jié)果分析。 結(jié)果：研究結(jié)果顯示,治療組顯效率為63.33%,總有效率為93.33%；中藥對照組顯效率為56.66%,總有效率為90.00%。治療組及中藥對照組自身前后在各主癥及次癥上比較,P0.05,差異有統(tǒng)計學(xué)意義。即治療組和中藥對照組在治療變應(yīng)性鼻炎方面存在顯著療效。二組患者總體療效比較,P0.05,說明治療組與中藥對照組總體療效上無差異；分析各個主證及次證,治療組與中藥對照組在鼻阻、睡眠、出汗、惡風(fēng)癥狀上計分比較,P0.05,故從改善主要癥狀及次要癥狀方面,治療組較中藥對照組療效顯著。 結(jié)論：風(fēng)寒犯肺證是小兒變應(yīng)性鼻炎的一個常見證型。夷芎湯合灸百會穴及單純中藥治療小兒變應(yīng)性鼻炎鼻炎(風(fēng)寒犯肺證),都能明顯改善患者的癥狀,表明夷芎湯和灸法在本病的治療方面具有明確的療效,同時治療組比單用中藥湯劑治療改善鼻阻等癥狀上存在優(yōu)勢。
[Abstract]:Objective: to observe the clinical effect of Yixiong decoction combined with moxibustion in the treatment of allergic rhinitis in children, in order to clarify the superiority of traditional Chinese medicine and moxibustion in treating allergic rhinitis in children. In order to expand the treatment of allergic rhinitis in children, and to accumulate certain materials for the research of TCM treatment of this disease. Methods: 60 cases of children with allergic rhinitis diagnosed in accordance with the diagnosis of allergic rhinitis in children aged over 2 years were randomly divided into treatment group (30 cases) and control group (30 cases) according to 1:1. The treatment group was treated with Yixiong decoction combined with moxibustion at Baihui point, while the control group was treated with Yixiong decoction for 14 days. The clinical symptoms, signs and scores of the two groups were observed and recorded before and after treatment. Finally, the data will be collected, statistical processing and treatment results analysis. Results: the effective rate was 63.33 and the total effective rate was 93.33 in the treatment group and 56.66 in the control group. The treatment group and the traditional Chinese medicine control group before and after the comparison of the main symptoms and secondary symptoms, P0.05, the difference was statistically significant. That is, the treatment group and the control group in the treatment of allergic rhinitis has a significant effect. There was no difference between the treatment group and the traditional Chinese medicine control group in the overall curative effect of the two groups (P0.05). By analyzing the main and secondary syndromes, the scores of nasal obstruction, sleep, sweating and bad wind were compared between the treatment group and the traditional Chinese medicine control group (P0.05). Therefore, the treatment group was more effective than the traditional Chinese medicine control group in improving the main symptoms and secondary symptoms. Conclusion: lung syndrome is a common syndrome of allergic rhinitis in children. Yixiong decoction combined with moxibustion at Baihui point and traditional Chinese medicine alone in the treatment of allergic rhinitis in children (wind-cold lung syndrome) can obviously improve the symptoms of the patients, indicating that Yi-Xiong Tang and moxibustion have a clear curative effect on the treatment of this disease. At the same time, the treatment group was superior to traditional Chinese medicine decoction alone in improving nasal obstruction and other symptoms.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R246.4

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