| Objective:Shengjiang Powder and Liangge powder were used to treat recurrent acute suppurative tonsillitis.Objective To observe and evaluate the clinical efficacy of Shengjiang Powder and Liangge powder in the treatment of children with recurrent acute suppurative tonsillitis(lung stomach stagnation heat syndrome);In the intermission period,according to the characteristics of the disease which is easy to recur,under the guidance of the theory of no treatment for the disease and no treatment for the disease,the routine TCM syndrome quantitative table was used to monitor and quantitatively evaluate the lung and stomach stagnant heat performance of the children with solid heat constitution.The time nodes with different scores were selected for the application of Shengjiang Powder and Liangge powder,Objective To observe the frequency of recurrent acute suppurative tonsillitis in children and explore the best time node of drug intervention after quantitative evaluation,so as to open up a new idea for clinical Chinese medicine prevention of this disease.Method:The children with recurrent acute suppurative tonsillitis were randomly divided into treatment group and control group.In the acute attack stage,the treatment group was given Shengjiang Powder and Liangge powder Huacai + cefaclor dry suspension,while the control group was given Pudilan Xiaoyan oral liquid + oral cephalosporin The treatment course was10 days.The improvement of TCM syndromes in the two groups was observed after treatment,and the curative effect of TCM syndromes in the two groups was evaluated.In the intermission period(after the end of the treatment in the acute attack period),the children in the treatment group and the control group were divided into two groups according to the ratio of 1:1,and all the children were monitored and quantitatively evaluated by using the daily TCM Syndrome Scale.The two groups of children in the treatment group were given oral intervention of Shengjiang Powder and Liangge powder Huacai Decoction according to different scoring standards(treatment group 1: Daily TCM syndrome score ≥ 15 points;treatment group 2: Daily TCM syndrome score ≥ 18 points).The two groups of children in the control group were only given scoring without TCM Intervention,with a total of 6intervention follow-up The frequency of recurrent acute suppurative tonsillitis within 6months was used as the main evaluation content.Spss26.0 software was used to analyze and process the data.Result:1.Comparison of TCM syndrome efficacy of the two groups on the 10 th day of treatment:in the treatment group,23 cases were cured,8 cases were markedly effective,0 case was effective,and 0 case was invalid;in the control group,11 cases were cured,19 cases were markedly effective,2 cases were effective,and 0 case was invalid.After 10 days of treatment,the clinical efficacy of the two groups was different,P < 0.05,with statistical significance,indicating that the treatment group was better than the control group in TCM syndrome efficacy.2.Intra group comparison of single symptom score: on the 3rd,5th and 10 th day of treatment,the scores of each single TCM syndrome were compared with those before treatment,all P < 0.05,with statistical significance,indicating that the single symptom of the treatment group and the control group were improved after treatment.3.Comparison of single symptom score between groups: on the third day of treatment,the scores of fever,sore throat,tonsillar suppurative,tonsillar hyperemia and enlargement and secondary symptoms between the treatment group and the control group were all P < 0.05,with statistical significance,and the curative effect of the treatment group was better than that of the control group;on the fifth day of treatment,the scores of single fever symptom between the treatment group and the control group were p > 0.05,with no significant difference Statistical significance,the other main symptoms of sore throat,tonsillar suppuration,tonsillar swelling and congestion and all the secondary symptoms score between groups,all P < 0.05,the difference was statistically significant,and the improvement effect of the treatment group was better than that of the control group.On the 10 th day of treatment,the main symptom scores of fever,sore throat,tonsillar suppuration,tonsillar hyperemia and swelling were compared between groups,all P > 0.05,the difference was not statistically significant,the secondary symptom scores were compared between groups,the difference was statistically significant,all P < 0.05,and the improvement effect of the treatment group was better than that of the control group.4.The complete antipyretic time of the treatment group and the control group were42.581 ± 5.371 h and 68.437 ± 6.425 h,respectively.There was significant difference between the two groups(P < 0.05).The complete antipyretic time of the treatment group was significantly shorter than that of the control group.5.In the intermission period,the control group and the experimental group were divided into two groups respectively after the treatment in the attack period.The lung and stomach stagnant heat performance of the children with solid heat constitution were monitored and quantitatively evaluated,and the Shengjiang Powder and Liangge powder were applied at different time points of the two groups,The recurrence times of acute suppurative tonsillitis between treatment group 1 and control group 1 and between treatment group 2 and control group 2 were compared within 6 months of follow-up.The recurrence times of acute suppurative tonsillitis between treatment group 1 and control group 1,between treatment group 2 and control group 2 within 6 months were compared,and the differences were statistically significant(all P < 0.05),In the intermission period,the number of recurrent episodes of acute suppurative tonsillitis in the treatment group was significantly less than that in the control group;The two groups of children in the treatment group were given oral intervention of Shengjiang Powder and Liangge powder Huacai Decoction according to different score standards.The number of recurrent episodes of acute suppurative tonsillitis within 6 months of follow-up was compared.The difference between group 1 and group 2 in the treatment group was not statistically significant(P > 0.05),There was no significant difference in the recurrence times of acute suppurative tonsillitis between the two groups.Conclusion:The clinical effect of Shengjiang Powder Combined with Liangge powder in the treatment of recurrent acute suppurative tonsillitis(lung stomach stagnation heat syndrome)in children is significant,and the effect of TCM syndrome is better than Pudilan Xiaoyan oral liquid;In the intermission period,through the quantitative evaluation of the daily lung stomach stagnant heat performance,explore the time nodes of different scores,apply Shengjiang Powder and Liangge powder to reduce the degree of lung stomach heat in children,which can reduce the recurrence of acute suppurative tonsillitis in children,and achieve the effect of prevention of the disease,without obvious adverse reactions,which is worthy of clinical application. |
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