论文部分内容阅读
【目的】探讨加减和中散治疗脾虚湿盛型小儿肠系膜淋巴结炎的临床疗效。【方法】将60例脾虚湿盛型肠系膜淋巴结炎患儿随机分为治疗组和对照组各30例。对照组给予西医常规头孢克洛干混悬剂抗感染治疗,必要时给予抗病毒、解痉止痛等对症处理;治疗组在对照组治疗的基础上加用加减和中散内服治疗,疗程均为2周。观察2组临床疗效及对主要、次要症状的缓解作用和对淋巴结的缩小作用,并评价其安全性。【结果】(1)治疗组总有效率为96.7%,对照组为83.3%,治疗组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗组在缓解患儿主症(腹痛)、次症(食欲不振、呕吐、腹胀、大便不调)等方面疗效均优于对照组,2组各项症状消失时间比较,差异均有统计学意义(P<0.05)。(3)治疗后,2组患儿腹部淋巴结均明显缩小(P<0.05),且治疗组对患儿淋巴结的缩小作用明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗过程中,2组患儿均未见明显不良反应。【结论】中药汤剂加减和中散联合西医治疗脾虚湿盛型肠系膜淋巴结炎患儿,疗效显著,其疗效优于单纯西医治疗。
【Objective】 To investigate the clinical curative effect of adding and subtracting and dispersing in treating spleen deficiency and dampness type children mesenteric lymphadenitis. 【Methods】 Sixty children with spleen deficiency and dampness-type mesenteric lymphadenitis were randomly divided into treatment group and control group with 30 cases each. The control group was given Western medicine conventional cefaclor dry suspension anti-infective treatment, if necessary, given antiviral, antispasmodic and analgesic symptomatic treatment; the treatment group in the control group based on the treatment plus plus and minus and in the bulk oral treatment, For 2 weeks. To observe the clinical efficacy of two groups and the main and secondary symptoms of the role of mitigation and lymph node contraction, and evaluate its safety. 【Results】 (1) The total effective rate was 96.7% in the treatment group and 83.3% in the control group. The curative effect in the treatment group was better than that in the control group (P <0.05). (2) The treatment group was superior to the control group in relieving the main symptoms (abdominal pain) and secondary symptoms (loss of appetite, vomiting, abdominal distension, stool irregularity) in the treatment group, and the differences in the disappearance time of the symptoms in both groups were Statistical significance (P <0.05). (3) After treatment, the abdomen lymph nodes in both groups were significantly reduced (P <0.05), and the reduction effect of lymph node in treatment group was better than that of control group, the difference was statistically significant (P <0.05). (4) During the course of treatment, no obvious adverse reactions were observed in both groups. 【Conclusion】 Chinese medicine decoction combined with Chinese medicine in the treatment of spleen deficiency-dampness mesenteric lymphadenitis in children with significant curative effect, its efficacy is superior to Western medicine alone.