Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2018, Vol. 32 ›› Issue (6): 56-59.doi: 10.6040/j.issn.1673-3770.0.2018.307

Previous Articles     Next Articles

Clinical effect of Yunpi Huatan Tongqiao decoction on pediatric snoring disease and immune function

YU Yuejin1, GU Jingwen2, HUANG Wei1, LI Pei1, HU Hua1, HAO Yanan1, FAN Yongjiang1, GAO Yiyi1   

  1. Department of Pediatrics, Seventh Peoples Hospital of Shanghai University of TCM, Shanghai 200137, China
  • Published:2018-11-29

Abstract: Objective To study the clinical effect of activating spleen treatment of nasal prescription on pediatric snoring disease and immune function. Methods Sixty consecutive subjects with pediatric snoring disease were enrolled from May 2016 to December 2017 and divided randomly into control and observation groups, each group comprising of 30 cases. Patients in the control group underwent resective surgery and those in the observation group were administered activating spleen treatment of nasal prescription. The total duration of treatment was 3 months, following which the difference in size of the tonsils were assessed. TCM syndrome scores, the clinical efficacy rate before and after treatment in the two groups, and immunologic parameters including IgA, IgG, and IgM levels in peripheral venous blood were evaluated by ELISA. Results The size of the tonsils was smaller in both groups after treatment with significant reduction in size being observed in the control group(P<0.05). The size of the tonsils was within the normal range in the observation group. Lower post-treatment TCM syndrome scores were observed in the two groups with no statistically significant difference(P>0.05). The efficacy rate was not significantly different between the two groups(P>0.05). Post-treatment, the levels of IgA, IgG, and IgM remained unchanged in the two groups(P>0.05). Conclusion Both treatments, nasal prescription for activation of spleen and resective surgery, can provide comparable clinical effect in cases of pediatric adenoidal hypertrophy with no effect on immune function.

Key words: Yunpi Huatan Tongqiao decoction, Surgery, Snoring disease, TCM syndrome, Immunologic function

CLC Number: 

  • R272
[1] 龙朝庆, 颜永毅, 容庆丰.OSA-18 量表评估腺样体肥大儿童生活质量[J].山东大学耳鼻喉眼学报, 2015, 29(3):13-15, 19. LONG Chaoqing, YAN Yongyi, RONG Qingfeng. Assessment of quality of life in children with adenoid hypertrophy by OSA-18 questionnaire[J]. J Otolaryngol Ophthalmol Shandong Univ, 2015, 29(3):13-15, 19.
[2] 高永平, 田从哲, 刘会清, 等.小儿腺样体肥大与分泌性中耳炎[J].中华耳科学杂志, 2014, 12(1):106-108. GAO Yongping, TIAN Congzhe, LIU Huiqing, et al. Pediatric adenoid vegetation and secretory otitis in children [J]. Chin J of Otol, 2014, 12(1): 106-108.
[3] 李旭, 黄群.非手术方法治疗儿童腺样体肥大的临床观察[J].临床耳鼻咽喉头颈外科杂志, 2013, 27(8):432-434. LI Xu, HUANG Qun. Non-surgical treatment for adenoidal hypertrophy[J].J Clin Otorhinolaryngolo Head Neck Surg, 2013, 27(8):432-434.
[4] 段汉忠, 夏力, 卢智慧, 等.鼻用糖皮质激素在腺样体肥大性小儿鼾症中的应用[J].中国临床药理学与治疗学, 2015, 20(9):1052-1054. DUAN Hanzhong, XIA Li, LU Zhihui, et al. Role of intranasal corticosteroid in the treatment of childrens snoring effected by adenoidal hypertrophy[J]. Chin J Clin Pharmacol Therapeu, 2015, 20(9):1052 -1054.
[5] 温鑫, 周永青, 宋英鸾, 等.腺样体切除加鼓膜穿刺耳道正行吹张治疗腺样体肥大并分泌性中耳炎疗效分析[J].听力学及言语疾病杂志, 2018, 26(1):93-95.
[6] 殷明德.小儿扁桃体和腺样体切除术适应证的免疫学基础[J].临床耳鼻咽喉头颈外科杂志, 2010, 24(9):385-391.
[7] 杨周剑, 姜之炎.腺样体肥大的中西医诊治进展[J].世界中西医结合杂志, 2016, 11(2):281-284.
[8] 匡嘉丽, 李健, 陆洋,等.腺样体肥大治疗的前瞻性随机对照研究[J].中山大学学报(医学科学版),2012,33(3):373-377. KUANG Jiali, LI Jian, LU Yang, et al. Treatment of adenoid hypertrophy:a prospective randomized control clinical trial[J]. J Sun Yat-sen Univ(Med Sci), 2012, 33(3): 373-377.
[9] Shen L, Zheng B, Lin Z, et al. Tailoring therapy to improve the treatment of children with obstructive sleep apnea according to grade of adenotonsillar hypertrophy[J]. Int J Pediatr Otorhinolaryngol, 2015, 79(4):493-498.
[10] 姜之炎, 石李.通窍化痰方治疗小儿腺样体肥大 24 例临床观察[J].中国中西医结合儿科学, 2009, 1(5): 485-487. JIANG Zhiyan, SHI Li. Clinical observation on 24 cases of child adenoids treated with Tongqiao Huatan recipe[J]. Chin Pediatr Integr Tradit West Med, 2009, 1(5): 485-487.
[11] 赵爱梅.苍术的药理作用[J].光明中医, 2009, 24(1):181-182.
[12] 韩旭, 高洁, 韩冰冰.中药薏苡仁现代临床研究进展[J].陕西中医, 2014, 35(9):1270-1271.
[13] 王永慧, 叶方, 张秀华.辛夷药理作用和临床应用研究进展[J].中国医药导报, 2012, 9(16):12-14. WANG Yonghui, YE Fang, ZHANG Xiuhua. Research progress in pharmacological effects and clinical application of Flos magnoline[J]. Chin Med Herald, 2012, 9(16):12-14.
[14] 朱旭峰.石菖蒲的研究进展[J].中国民族民间医药, 2013, 22(9):9-10.
[15] 郑勇凤, 王佳婧, 傅超美, 等.黄芩的化学成分与药理作用研究进展[J].中成药, 2016, 38(1):141-147.
[16] 王斌, 陈华.俞景茂教授治疗小儿腺样体肥大验案三则[J].浙江中医药大学学报, 2017, 41(1):59-61. WANG Bin, CHEN Hua. Professor Yu Jingmaos experience in treatment of children adenoid vegetation 3 cases[J].J Zhejiang Chin Med Univ, 2017, 41(1):59-61.
[17] Bitar MA, Dowli A, Mourad M. The effect of tonsillectomy on the immune system: A systematic review and meta-analysis[J]. Int J Pediatr Otorhinolaryngol, 2015, 79(8):1184-1191.
[1] LIU Ming. Treatment of epiglottic carcinoma by transoral laser microsurgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 4-7.
[2] ZHANG Ruxiang, TIAN Hao, MA Youxiang. Computed tomography assessment of skull base height before endoscopic sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 75-77.
[3] TIAN Zenghua. Clinical study of endoscopic nasal vestibular cyst unroofing and low-temperature plasma for the treatment of nasal vestibular cysts while excluding the septal wall [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 86-89.
[4] SHEN Qinfeng, SHEN Xiaoyan, ZHU Rongqiang, JIANG Feifei, LANG Juntian. Role of functional middle turbinectomy in functional endoscopic sinus surgery for chronic sinusitis [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 82-85.
[5] SONG Xicheng. Application value of enhanced recovery after surgery in head and neck cancer surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 1-4.
[6] QI Min, LI Hong, WANG Qian, TU Cuifang, YANG Qintai, XU Huiqing. Preliminary application of enhanced recovery after surgery in the perioperative nursing in functional endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 13-18.
[7] LIU Dawei, ZHANG Yu, LI Chenglin, CHEN Xiumei, SONG Xicheng. Use of enhanced recovery after surgery in children with obstructive sleep apnea syndrome during the perioperative period [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 19-22.
[8] WU Xifu, KONG Weifeng, WANG Weihao, XU Huiqing, QI Min, YANG Qintai. Perioperative quality of life in patients with chronic rhinosinusitis with nasal polyps under enhanced recovery after surgery using QoR-15 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 5-8.
[9] SONG Xiaoyu, ZHANG Yu, LI Chenglin, SONG Xicheng. Enhanced recovery after surgery for the treatment of chronic rhinosinusitis with nasal polyps [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 9-12.
[10] WANG Li, ZHANG Yu, ZHANG Hua, LIU Xueyan, SONG Xicheng. Enhanced recovery after surgery in sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 23-26.
[11] WU Xifu, ZHANG Gehua. Assessment of the effectiveness of problem-based learning during the probation period of the otolaryngology head and [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 116-118.
[12] SUN Shujuan, SHI Lei, FAN Zhaomin, SHI Guanggang. Nasal related somatoform disorders [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 32-36.
[13] LI Houxiu, LIU Zhonghua, CHEN Zhi. Risk factors for rupture of the capsule membrane during phacoemulsification cataract surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 88-90.
[14] HUA Cheng, CHEN Zhenyu, ZHANG Weina, LI Na. Efficacy of nasal endoscope-assisted nasal plastic surgery and nasal septum deviation correction [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 33-36.
[15] ZHOU Xueyi, LI Yiming, WANG Meiju, ZHANG Yuanyuan, ZHANG Lizhuo. Clinical observation of 25-gauge minimally invasive vitreous retinal surgery for treatment of rhegmatogenous retinal detachment. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 92-94.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!