【摘要】：目的:觀察化瘀散結法治療兒童鼾眠氣滯血瘀證的臨床療效。方法:選取60例來自長春中醫(yī)藥大學附屬醫(yī)院耳鼻喉科門診證屬氣滯血瘀證的鼾眠患兒,年齡均在3~8歲,隨機分為治療組和對照組兩組,治療組(30例)給予自擬化瘀散結類中藥方劑口服同時配合中藥霧化吸入治療,對照組(30例)給予鼻淵通竅顆�？诜瑫r配合中藥霧化吸入治療,進行對比觀察研究。結果:經過14天的治療后,治療組總有效率為83.33%,對照組總有效率為63.33%,用統(tǒng)計軟件SPSS19經秩合檢驗分析,得出Z=-1.974,P=0.048,P0.05,說明治療組與對照組的兩種方法治療兒童鼾眠的治療效果之間對比有統(tǒng)計學意義,治療組的療效優(yōu)于對照組。將兩組病程與療效進行對照比較,結果顯示治療組病程在14~30天的患兒總有效率為100.00%,病程在30~60天的患兒總有效率為85.71%,病程大于60天的患兒總有效率為33.33%;對照組病程在14~30天的患兒總有效率為91.67%,病程在30~60天的患兒總有效率為66.67%,病程大于60天的患兒總有效率為22.22%;表明病程越短治療效果越好,且治療組各病程的效果都明顯優(yōu)于對照組。結論:病邪久滯,氣血瘀阻,瘀熱夾雜于小兒腺樣體脈絡是小兒鼾眠的重要病機,化瘀散結、清宣開竅是兒童鼾眠的重要治法,化瘀散結法治療兒童鼾眠,安全性高、副作用小,療效確切,目前尚未發(fā)現(xiàn)任何不良毒副作用,值得在臨床上推廣應用。
[Abstract]:Objective: to observe the clinical effect of Huayu Sanjie method in treating children snoring sleeping qi stagnation and blood stasis syndrome. Methods: sixty children with snoring sleep were randomly divided into two groups: the treatment group and the control group, who were all aged 3 to 8 years old with the syndrome of qi stagnation and blood stasis in the outpatient department of otolaryngology, affiliated hospital of Changchun University of traditional Chinese Medicine. The treatment group (30 cases) were treated with self-made traditional Chinese medicine prescriptions of Huayu Sanjie and combined with Chinese medicine atomization inhalation, while the control group (30 cases) were treated with Biyuan Tongqiao granule and Chinese medicine atomization inhalation. Results: after 14 days of treatment, the total effective rate of the treatment group was 83.33 and the total effective rate of the control group was 63.33. By using the statistical software SPSS19, the results of rank test analysis showed that the total effective rate of the treatment group was 83.33, and the total effective rate of the control group was 63.33. The results showed that there was significant difference between the treatment group and the control group in the treatment of snoring sleep in children, and the curative effect of the treatment group was better than that of the control group. The results showed that the total effective rate of the treatment group was 100.00for 1430 days, 85.71 for the 30 days and 33.33 for the longer than 60 days. In the control group, the total effective rate was 91.67 for 14 days, 66.67 for 30 days and 22.22 for those whose course was more than 60 days. It showed that the shorter the course of disease, the better the therapeutic effect, and the effect of each course of disease in the treatment group was obviously better than that in the control group. Conclusion: chronic stagnation of disease, stagnation of qi and blood, blood stasis and heat intermingling with the vein of children's adenoid body are the important pathogenesis of children's snoring sleep. Removing stasis and dispersing resuscitation is an important method to treat children's snoring sleep, and the method of removing blood stasis and dispersing blood stasis to treat children's snoring sleep is safe, and it is safe to treat children's snoring sleep. The side effect is small, the curative effect is definite, no adverse side effects have been found at present, it is worth popularizing in clinic.
【學位授予單位】：長春中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R276.1

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