Phlegm Treatment Of Children With Adenoidal Hypertrophy Of The Clinical Studies

Objectives:The use of traditional Chinese medicine theory,the treatment of Huatan Sanjie children adenoidal hypertrophy,its pathogenesis and treatment of prescription depth, and systematic observation of curative effect.Method:Clinical observation cases were selected from pediatrics out-patient of Guang'an Men hospital,china Academy of Chinese Medical Sciences,collecting time from February 2007 to September 2008.Clinical design was self-control.Adenoidal hypertrophy of the current diagnostic criteria for children is not yet a unified national. By summing up literature,the development of the diagnostic criteria for children's adenoidal hypertrophy.Six month follow-up after oraling Huatan Sanjie basic herb one month.Nasal obstruction scores,quality of life of the total score,quality of life of individual symptom score(snoring,mouth breathing,sinusitis) were compared among before treatment,after the end of treatment,three months after the end of treatment, six months after the end of treatment.SAS8.2 software used to observe the results of statistical processing,the application of repeated measure analysis of variance design.Result:1 The data of this study:there are 62 patients of this study,agel-10,to one of 3～6-year-old children with the majority,accounting for 64.52%.;Male 32 cases,30 cases of female,male to female ratio was 1.07:1;Course of 2 weeks to 6 years,with most of six months-two years,accounting for 70.97%.2 The comparison of symptoms and signs before treatment:Choanal adenoids accounted for 1/2-2/3 of the six cases,accounting for choanal 2 3 of the 18 cases, accounting for choanal 2/3-3/4 of the 9 cases,accounting for choanal 3/4 of the 24 cases,accounting for choanal 4/5 cases.Adenoidectomy is one of 24 patients with mild hypertrophy,33 cases of moderate hypertrophy,Severe hypertrophy in 5 cases.62 cases of snoring are the chief complaint,54 cases with mouth breathing,42 cases of nasal obstruction,17 cases of complicated sinusitis,Two cases of hearing impairment complicated, 3 Comparison of results after treatment:①Comparison of the total effect:there are 62 patients of this study,40 cases of markedly,12 cases of effective,I0 cases is invalid,the total effective rate 83.8%.②Comparison of three group:24 cases of mild hypertrophy group:18 cases of markedly,4 cases of effective,2 cases is invalid,the total effective rate 91.6%.33 cases of Moderate hypertrophy group:21 cases of markedly,7 cases of effective,5cases is invalid,the total effective rate 84.8%.5 cases of Severe hypertrophy group:1 cases of markedly,1 cases of effective,3cases is invalid,the total effective rate 40%.③62 cases of adenoidal hypertrophy in children with quality of life of the total score,nasal obstruction score,snoring score,mouth breathing score,sinusitis score at different time points on the overall average difference(P＜0.0001).Treatment after the end of the period of time than before treatment has declined,and the differences were statistically significant(P＜0.0083). In nasal obstruction scores,quality of life of the total score,quality of life of individual symptom score(snoring,mouth breathing,sinusitis),After the treatment,three months after the end of the treatment,Six months after the end of the treatment for Comparison,There was no statistically significant difference(P＞0.0083).Conclusion:This topic is based on modern medical literature for the treatment of adenoidal hypertrophy children study,the current surgical treatment for adenoidal hypertrophy children against the background of the clinical research,combination of clinical observation for many years instructor,from the perspective of traditional Chinese medicine theory,the use of Chinese medicine treatment of children Huatan Sanjie adenoidal hypertrophy,to observe the effect of therapy on children adenoidal whether or not there is a study of the efficacy of ideas.This subject is made full use of traditional Chinese medicine theory "all diseases are born in sputum",identified using a combination of disease and the idea of differentiation,keeping with the characteristics of in the field of Chinese medicine research,chinese medicine is the essence of inheritance and exert,Chinese medicine for the treatment of adenoidal hypertrophy in children,studies are helpful.Huatan Sanjie treatment of children has a significant effect of adenoidal hypertrophy,it can be significantly improved ventilatory function in children,improve the quality of life,the lifting of a stuffy nose symptoms,the attack to reduce the frequency of sinusitis.There is important clinical value.Chinese medicine treatment of adenoidal hypertrophy in children has a great advantage compared to surgical treatment of Western medicine:Retention of immune function;Conservative treatment,risk-free;Such as relapse,re-treatment.Because of the time and conditions,the subjects are still some imperfections: No country target effects standard;Because of the limitation of funds and unable to accept the re-examination in children,the majority of cases unable to achieve before and after endoscopic sinus control;Observed number of cases is still small,the time of clinical observation was shorter,not contrast with other therapies.This study embody is a thought of studying,the result is only preliminary,hoping to have the chance to confirm this experiment by enhancing sample book amounts and adding the objective index.