主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2021, Vol. 28 ›› Issue (2): 21-24.doi: 10.3969/j.issn.2095-6606.2021.02.005

• 临床研究 • 上一篇    下一篇

当归六黄汤加减联合刮痧疗法治疗小儿反复化脓性扁桃体炎的临床观察*

于文静1, 史晓伟2, 张雯1, 钮妍1, 赵颖1, 崔霞1#   

  1. 1 北京中医药大学第三附属医院 北京 100029;
    2 北京中医药大学
  • 收稿日期:2019-11-10 出版日期:2021-03-30 发布日期:2021-03-30
  • 通讯作者: #崔霞,女,博士,主任医师、教授,博士生导师
  • 作者简介:于文静,女,博士,副主任医师
  • 基金资助:
    *北京市科技计划课题(No.Z15100004015155)

Clinical observation of modified Danggui Liu Huang Decoction combined with guasha(scraping)therapy for recurrent suppurative tonsillitis in children*

Yu Wenjing1, Shi Xiaowei2, Zhang Wen1, Niu Yan1, Zhao Ying1, Cui Xia1#   

  1. 1 The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029;
    2 Beijing University of Chinese Medicine
  • Received:2019-11-10 Online:2021-03-30 Published:2021-03-30

摘要: 目的 观察当归六黄汤加减联合刮痧疗法治疗小儿反复化脓性扁桃体炎的临床疗效。方法 将90名反复化脓性扁桃体炎患儿采用平行对照法分为治疗组45例、对照组45例。治疗组予以口服加减当归六黄汤联合刮痧疗法治疗。对照组予以西医常规对症治疗。观察2组临床症状、体征消失时间等近期临床疗效,治疗前6个月及治疗后随访6个月内扁桃体炎反复发作次数的远期临床疗效。结果 治疗组45例中,痊愈20例,有效22例,无效3例,总有效42例,总有效率为93.33%;对照组45例中,痊愈19例,有效21例,无效5例,总有效40例,总有效率为88.89%。经秩和检验,Z=0.549,P=0.768,P>0.05,2组近期临床疗效相当。治疗后2组退热时间、咽痛消失时间及化脓点消退时间较本组治疗前均缩短(P<0.05)。治疗组退热时间、咽痛消失时间及化脓点消退时间较对照组缩短明显,治疗前后差值比较,差异均有统计学意义(P<0. 05),治疗组优于对照组。治疗组治疗后6个月反复发作次数较本组治疗前降低(P<0.05),对照组治疗后6个月反复发作次数与本组治疗前比较差异无统计学意义(P>0.05)。治疗组治疗后6个月反复发作次数较对照组减少明显,治疗前后差值比较,差异有统计学意义(P<0.05)。经治疗,治疗组45例中,临床痊愈8例,显效13例,有效18例,无效6例,总有效39例,总有效率为86.67%;对照组45例中,临床痊愈2例,显效9例,有效18例,无效16例,总有效29例,总有效率为64.44%。经秩和检验,Z=-2.866,P=0.004,P<0.05,治疗组的远期疗效优于对照组。结论 当归六黄汤加减联合刮痧疗法治疗小儿反复化脓性扁桃体炎具有较好的临床疗效。

关键词: 小儿, 反复化脓性扁桃体炎, 瘀热证, 当归六黄汤, 刮痧疗法, 临床疗效

Abstract: Objective To observe the clinical efficacy of modified Danggui Liu Huang Decoction combined with guasha(scraping) therapy in the treatment of recurrent suppurative tonsillitis in children. Methods Ninety children with recurrent suppurative tonsillitis were assigned to the treatment group and control group according to the parallel control method, with 45 cases in each group. The control group was treated with routine symptomatic treatment of Western medicine, and the treatment group was treated with modified Danggui Liu Huang Decoction combined with guasha(scraping)therapy once a week for 4 weeks. The short-term clinical effects of the two groups were observed, such as the disappearance time of clinical symptoms and signs, and the long-term clinical efficacy of repeated attacks of tonsillitis in 6 months before and after treatment were also observed. Results In the treatment group, 20 cases were cured, 22 cases were effective, and 3 cases were ineffective, with a total effective rate of 93.33%; in the control group, 19 cases were cured, 21 cases were effective, 5 cases were ineffective, with a total effective rate of 88.89%.The short-term curative effect of the treatment group was similar to that of the control group, according to the rank sum test, Z = 0.549, P= 0.768, P> 0.05. After treatment, the fever abatement time, pharyngalgia relief time and purulent secretion disappearance time were less than those before treatment in each group (P<0.05). Meanwhile, the fever abatement time, pharyngalgia relief time and purulent secretion disappearance time were significantly shorter in the treatment group than in the control group, and the difference was statistically significant (P< 0.05), indicating the treatment group was superior to the control group. The frequency of recurrent attacks in the treatment group was lower than that before treatment (P< 0.05), but there was no significant difference in the control group after 6 months of treatment (P> 0.05). After 6 months of treatment, the frequency of recurrent attacks was significantly lower in the treatment group than in the control group, and the difference was statistically significant (P< 0.05).After treatment, 8 cases were clinically cured, 13 cases were markedly effective, 18 cases were effective and 6 cases were ineffective, with the total effective rate of 86.67% in the treatment group; while in the control group, 2 cases were clinically cured, 9 cases were markedly effective, 18 cases were effective, 16 cases were ineffective and 29 cases were total effective, with the total effective rate of 64.44%. The long-term effect was betterin the treatment group than in the control group according to rank sum test, Z= -2.866, P= 0.004, P< 0.05. Conclusions Modified Danggui Liu Huang Decoction combined with guasha(scraping) therapy has a good clinical effect in the treatment of recurrent suppurative tonsillitis in children.

Key words: recurrent suppurative tonsillitis, heat-stasis syndrome, Danggui Liu Huang Decoction, guasha (scraping) therapy, clinical efficacy

中图分类号: 

  • R276