柴葛解肌汤加减治疗小儿急乳蛾临床观察

Clinical observation of modified Chaige Jieji decoction treating acute infantile tonsillitis

关键词:  柴葛解肌汤  小儿急乳蛾  急性化脓性扁桃体炎  中医药

Key words:  Chaige Jieji decoction  acute infantile tonsillitis  acute suppurative tonsillitis  traditional Chinese medicine

摘要:

[目的]观察柴葛解肌汤治疗小儿急乳蛾的临床疗效。[方法]将104例急乳蛾患儿，按随机数字表法分为两组，对照组52例予头孢孟多抗感染治疗，治疗组52例在对照组的基础上加用柴葛解肌汤口服，疗程均为5 d。研究过程中，对照组脱落4例，治疗组脱落4例。统计分析时，对照组、治疗组各48例，比较两组临床疗效及各项症状变化情况。[结果]治疗组和对照组综合疗效的总有效率分别为97.92%、87.50%；临床痊愈率分别为56.25%、35.42%。治疗组在综合疗效、临床痊愈率方面均高于对照组，差异有统计学意义（P<0.05）；治疗组患儿在体温恢复正常时间、脓点消失时间及咽痛好转时间均较对照组时间缩短，差异有统计学意义（P<0.05）。[结论]柴葛解肌汤联合头孢孟多治疗小儿急乳蛾临床疗效确切，综合疗效更好，在缩短体温恢复正常时间，改善扁桃体脓点、咽痛等症状疗效优于单独应用头孢孟多治疗。

Abstract:

[Objective] To observe the clinical curative effect of modified Chaige Jieji decoction treating acute infantile tonsillitis.[Methods] The 104 cases of acute infantile tonsillitis are divided into two groups according to random number table method. Control group with 52 cases treated by cefamandole to anti-infection, treatment group with 52 cases combined with Chaige Jieji decoction orally on the basis of control group. The course was 5 days. Four cases were deleted in each group during the treatment, so there were 48 cases in each group when analyzing. Clinical curative effect and the changes of symptoms between two groups were compared.[Results] The comprehensive curative effect of treatment group and control group were 97.92% and 87.50% respectively. The clinical cure rates were 56.25% and 35.42% respectively. The comprehensive curative effect and clinical cure rate in treatment group were higher than control group, and the difference was statistically significant (P<0.05). Time of body temperature returned normal, pus point disappeared and sore throat improved in children of treatment groups were shorter than control group, the difference was statistically significant (P<0.05).[Conclusion] Clinical effect of modified Chaige Jieji decoction combined cefamandole was curative in treating acute infantile tonsillitis, and the comprehensive effect is better. In the effect of shorten the time of body temperature returned normal, improve the pus point on tonsil and sore throat, it is better than using cefamandole simply.