三伏贴治疗小儿过敏性鼻炎临床研究
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R765.21;R244.9

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Clinical Study on Sanfu Paste for Children with Allergic Rhinitis
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    摘要:

    目的:观察三伏贴治疗小儿过敏性鼻炎的临床疗效。方法:选取过敏性鼻炎患儿186 例,按治疗方法分为三伏贴组93 例、氯雷他定组63 例、对照组30 例。对照组给予西医基础治疗,氯雷他定组在对照组基础上加用氯雷他定口服,三伏贴组在对照组基础上加用中药三伏贴治疗。观察并比较3 组的临床症状消失时间、临床疗效、外周血嗜酸性粒细胞(EOS) 计数、血清特异性免疫球蛋白E(IgE)、白细胞介素-17(IL-17)、白细胞介素-22(IL-22) 水平。结果:三伏贴组总有效率为97.85%,高于氯雷他定组87.30%和对照组70.00%,差异均有统计学意义(P<0.05)。治疗后,三伏贴组鼻部及眼部临床症状消失时间均短于氯雷他定组和对照组(P<0.05)。治疗前,3 组EOS 计数、IgE、IL-17 及IL-22 水平比较,差异均无统计学意义(P>0.05)。治疗后,3 组EOS 计数、IgE、IL-17 及IL-22 水平较治疗前降低(P<0.05),且三伏贴组各项指标均低于氯雷他定组和对照组(P<0.05)。结论:三伏贴治疗小儿过敏性鼻炎可以显著改善患者临床症状,降低血清EOS 计数、IgE、IL-17 及IL-22水平,临床疗效较好。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Sanfu paste for children with allergic rhinitis. Methods:A total of 186 cases of children with allergic rhinitis were selected and divided into the Sanfu paste group(93 cases),the loratadine group (63 cases),and the control group(30 cases) according to treatment method. The control group was given basic treatment of western medicine;the loratadine group was additionally given the oral administration of loratadine based on the treatment of the control group;the Sanfu paste group was additionally given Sanfu paste with Chinese medicine based on the treatment of the control group. The disappearance time of clinical symptoms,the clinical effect,peripheral blood eosinophils(EOS) count, as well as levels of serum specific immunoglobulin E(IgE),interleukin-17(IL-17),and interleukin-22(IL-22) were observed and compared among the three groups. Results:The total effective rate was 97.85% in the Sanfu paste group,higher than that of 87.30% in the loratadine group and that of 70.00% in the control group,differences being significant(P<0.05). After treatment,the disappearance time of clinical symptoms of the nose and the eyes in the Sanfu paste group was shorter than those in the loratadine group and the control group(P<0.05). Before treatment,when compared EOS count as well as levels of IgE, IL- 17, and IL- 22 among the three groups, there was no significance in differences(P>0.05). After treatment, levels of IgE,IL-17,and IL-22 as well as EOS count in the three groups were decreased when compared with those before treatment(P<0.05),and all indexes above in the Sanfu paste group were lower than those in the loratadine group and the control group(P<0.05). Conclusion:In the treatment of children with allergic rhinitis,Sanfu paste can significantly improve their clinical symptoms,reduce EOS count in serum and levels of IgE,IL-17,and IL-22,with a good clinical effect.

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王红歌,孙雪义,张天航,向明丽.三伏贴治疗小儿过敏性鼻炎临床研究[J].新中医,2021,53(14):138-141

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  • 在线发布日期: 2021-07-24
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