本文選題：兒童鼾癥 + 啄治法��； 參考：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本課題基于臨床療效的基礎(chǔ)上,客觀評(píng)價(jià)中醫(yī)藥干預(yù)治療兒童鼾癥的臨床療效,通過(guò)觀察及探討中醫(yī)藥干預(yù)治療兒童鼾癥的臨床療效,從而對(duì)優(yōu)化臨床治療方案具有重要的意義。方法:本研究選擇同時(shí)具有扁桃體肥大和腺樣體肥大的兒童鼾癥患者。根據(jù)兒童鼾癥患者的癥狀、�？茩z查和影像學(xué)檢查結(jié)果進(jìn)行納入選擇,患兒扁桃體在Ⅱ°及以上肥大,選擇鼻咽側(cè)位片報(bào)告顯示腺樣體肥大,相關(guān)氣道受壓病人。共收集符合條件的兒童鼾癥患者60例,隨機(jī)分為治療組和對(duì)照組,各30例患者。治療方法:治療組:(1)中醫(yī)外治法即啄治法、烙治法,以啄治法為主,其中扁桃體Ⅲ°肥大且配合較好者選用啄治和烙治交替應(yīng)用,或單純應(yīng)用烙治法。以上治療,每周一次,5次為一療程。(2)內(nèi)服導(dǎo)師經(jīng)驗(yàn)方-化痰祛瘀散結(jié)湯�；颊呙恐芏ㄆ陂T(mén)診治療復(fù)查,并記錄病情變化,5周為一療程。對(duì)照組:(1)口服夏枯草膠囊,每天2次,每次2粒。(2)外用輔舒良或內(nèi)舒拿噴鼻,每晚1次,每次每側(cè)鼻腔各1噴。結(jié)果:通過(guò)對(duì)60例兒童鼾癥患者的臨床療效觀察及統(tǒng)計(jì)學(xué)分析,治療組痊愈1例,顯效9例,有效16例,無(wú)效4例,總有效率為86.66%。對(duì)照組痊愈0例,顯效5例,有效14例,無(wú)效11例,總有效率為63.33%。由統(tǒng)計(jì)結(jié)果可知,治療組的總有效率明顯高于對(duì)照組。在治療組與對(duì)照組各個(gè)癥狀體征記分進(jìn)行組間及治療前后的統(tǒng)計(jì)分析后,得出治療組在改善鼾聲、呼吸暫停、憋醒、睡眠質(zhì)量、夜尿、扁桃體肥大及腺樣體肥大方面明顯優(yōu)于對(duì)照組;特別是在改善扁桃體肥大方面顯著優(yōu)于對(duì)照組;而在改善精神狀態(tài)、口干及口苦方面與對(duì)照組無(wú)明顯差異。各組患者治療后均未發(fā)現(xiàn)明顯毒副作用及不良反應(yīng)。結(jié)論:選用以啄治法加內(nèi)服中藥為主的中醫(yī)藥干預(yù)措施治療兒童鼾癥,能有效的改善兒童睡眠打鼾癥狀,在改善鼾聲、呼吸暫停、憋醒、睡眠質(zhì)量、夜尿、扁桃體肥大及腺樣體肥大方面有明顯優(yōu)勢(shì),且臨床總體療效優(yōu)于口服夏枯草膠囊加鼻用激素噴鼻治療的對(duì)照組。
[Abstract]:Objective: to evaluate objectively the clinical effect of Chinese medicine intervention in the treatment of children's snoring on the basis of clinical curative effect, and to observe and discuss the clinical effect of Chinese medicine intervention on children's snoring. Therefore, it is of great significance to optimize the clinical treatment plan. Methods: children with tonsil hypertrophy and adenoid hypertrophy were selected in this study. According to the symptoms of children with snoring, the results of specialized examination and imaging examination were included in the selection. The tonsils of the children were hypertrophy at 鈪，

本文編號(hào)：1864545