本文選題：小兒皰疹性咽峽炎 + 針刺療法��； 參考：《中國(guó)針灸》2017年06期

【摘要】：目的:觀察西藥、針刺和針刺聯(lián)合西藥治療小兒皰疹性咽峽炎的療效差異。方法:將120例皰疹性咽峽炎患兒隨機(jī)分成西藥組、針刺組和針刺聯(lián)合西藥組,每組40例。各組患兒均在對(duì)癥治療的基礎(chǔ)上,西藥組給予利巴韋林顆粒口服治療,按體質(zhì)量每日10 mg/kg給藥,分3次口服,連續(xù)服用3 d;針刺組穴取風(fēng)池、合谷、曲池、下關(guān)、頰車(chē)、地倉(cāng)、少商、商陽(yáng),予針刺治療,每日針刺1次,連續(xù)針刺3 d;針刺聯(lián)合西藥組采用西藥組和針刺組的治療,聯(lián)合口服利巴韋林顆粒和針刺治療,連續(xù)治療3 d。于治療后進(jìn)行臨床療效比較,并于治療結(jié)束后4 d進(jìn)行隨訪,比較3組患兒的退熱時(shí)間、皰疹消退時(shí)間和美林口服液使用次數(shù)。結(jié)果:治療后,針刺聯(lián)合西藥組總有效率為95.0%(39/40),西藥組總有效率為62.5%(25/40),針刺組總有效率為80.0%(32/40),針刺聯(lián)合西藥組優(yōu)于針刺組和西藥組(均P0.05)。針刺聯(lián)合西藥組退熱時(shí)間和皰疹消退時(shí)間均早于針刺組和西藥組(均P0.05)。針刺聯(lián)合西藥組美林口服液使用次數(shù)少于針刺組和西藥組(均P0.05)。結(jié)論:針刺聯(lián)合西藥治療小兒皰疹性咽峽炎比單純使用針刺和西藥能更快退熱和消退皰疹,減少美林口服液服用次數(shù),臨床療效更優(yōu)。
[Abstract]:Objective: to observe the curative effect of western medicine, acupuncture and acupuncture combined with western medicine in treating herpes isthmus in children. Methods: 120 cases of herpes pharyngitis were randomly divided into western medicine group, acupuncture group and acupuncture combined western medicine group with 40 cases in each group. On the basis of symptomatic treatment, ribavirin granules were given orally in the western medicine group, 10 mg/kg daily according to body mass, 3 times a day for 3 consecutive days, points of acupuncture group were collected from Fengchi, Hegu, qu Chi, Xiaguan, buccal car, Dichang. Shaoshang Shangyang was treated with acupuncture once a day for 3 days and the combined acupuncture group was treated with western medicine group and acupuncture group combined with ribavirin granule and acupuncture for 3 days. The clinical efficacy was compared after treatment and followed up 4 days after the treatment. The time of antipyretic, the time of herpes regression and the times of use of Merrill Lynch oral liquid were compared among the 3 groups. Results: after treatment, the total effective rate of acupuncture combined with western medicine group was 95.0 / 39 / 40, the total effective rate of western medicine group was 62.5 / 25 / 40, and the total effective rate of acupuncture group was 80.050 / 32 / 40. The total effective rate of acupuncture combined western medicine group was better than that of acupuncture group and western medicine group (all P 0.05). The antipyretic time and herpes extinction time of acupuncture combined with western medicine group were earlier than those of acupuncture group and western medicine group (all P 0.05). The frequency of oral liquid used in acupuncture combined with western medicine group was less than that in acupuncture group and western medicine group (P 0.05). Conclusion: acupuncture combined with western medicine in the treatment of herpes isthmus in children is more effective than acupuncture and western medicine alone in reducing fever and herpes and reducing the times of taking Merrill Lynch oral liquid.
【作者單位】： 杭州市余杭區(qū)第五人民醫(yī)院城南分院;
【基金】：浙江省中醫(yī)藥適宜技術(shù)培育項(xiàng)目:2014 ZP 009
【分類(lèi)號(hào)】：R246.81

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