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目的 :观察消腺汤联合超激光治疗小儿腺样体肥大的临床疗效。方法 :选取80例腺样体肥大患儿为研究对象,随机分为治疗组和对照组各40例。治疗组予消腺汤口服联合超激光治疗,对照组采用糠酸莫米松鼻喷雾剂治疗。观察2组临床症状的改善情况,及治疗前后腺样体大小的变化。结果:治疗组总有效率87.5%,对照组总有效率62.5%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组鼻塞、张口呼吸及睡眠打鼾积分比较,差异均无统计学意义(P>0.05)。治疗后,2组3项症状积分均较治疗前下降(P<0.05);治疗组张口呼吸、睡眠打鼾症状积分均低于对照组(P<0.05);2组鼻塞积分比较,差异无统计学意义(P>0.05)。治疗后,2组腺样体均较治疗前缩小(P<0.05);治疗组的腺样体小于对照组(P<0.05)。结论:消腺汤联合超激光治疗小儿腺样体肥大安全有效,可缩小腺样体体积。
Objective: To observe the clinical effect of Xiandan Decoction combined with super laser treatment of pediatric adenoid hypertrophy. Methods: Eighty cases of adenoid hypertrophy were selected as study subjects and randomly divided into treatment group (40 cases) and control group (40 cases). The treatment group was treated with Xiaowangtang oral combined with super laser and the control group with mometasone furoate nasal spray. The improvement of clinical symptoms and the changes of adenoid size before and after treatment were observed. Results: The total effective rate was 87.5% in the treatment group and 62.5% in the control group. There was significant difference between the two groups (P <0.05). Before treatment, two groups of nasal obstruction, mouth breathing and snoring scores of sleep, the difference was not statistically significant (P> 0.05). After treatment, the scores of three symptom scores in both groups were significantly lower than those before treatment (P <0.05). The scores of respiratory and sleep snoring in the treatment group were lower than those in the control group (P <0.05). There was no significant difference between the two groups Significance (P> 0.05). After treatment, the number of adenoids in both groups decreased compared with those before treatment (P <0.05). The numbers of adenoids in treatment group were smaller than those in control group (P <0.05). Conclusion: Xiandan Decoction combined with super laser treatment of adenoid hypertrophy in children safe and effective, can reduce the adenoid volume.