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目的:观察中西医联合治疗变应性鼻炎的疗效。方法:将变应性鼻炎患者180例随机分为中药方剂组、西药鼻喷雾剂组和中西医联合治疗组,每组60例。中药方剂组给予玉屏风散合苍耳子散,日1剂,口服,每日3次;西药组给予组胺H1受体拮抗剂鼻喷雾剂,每个鼻孔各2喷(每喷0.07ml,每喷含盐酸氮卓斯汀0.07mg),每日早、晚各1次;联合治疗组给予中药方剂和盐酸氮卓斯汀喷雾剂联合治疗,用法同上,均3周为1疗程。观察结果,并对治疗前后的症状和体征计分比较。结果:3组患者在治疗1疗程后,中西医联合治疗组显效率80%,明显高于中药复方制剂组的43%(P<0.05),西药鼻喷雾剂组的52%(P<0.05);无明显的不良反应。结论:采用中西医联合治疗变应性鼻炎,比单纯采用中药方剂或组胺H1受体拮抗剂治疗的临床效果更佳,安全有效,值得临床推广应用。
Objective: To observe the curative effect of integrated traditional Chinese and western medicine on allergic rhinitis. Methods: 180 patients with allergic rhinitis were randomly divided into traditional Chinese medicine prescription group, western medicine nasal spray group and combination of Chinese and Western medicine treatment group, 60 cases in each group. Chinese medicine prescription group given Yupingfeng Sanjie cock powder, day 1, orally, 3 times a day; Western medicine group given histamine H1 receptor antagonist nasal spray, each nostril 2 spray (spray 0.07ml, Each spray containing azelastine hydrochloride 0.07mg) daily morning and evening 1 each; combination therapy group given Chinese medicine and azoiczentazolam spray combination therapy, the same as above, were 3 weeks for a course of treatment. The results were observed and the scores of symptoms and signs were compared before and after treatment. Results: After 1 course of treatment, the curative effect rate of TCM-WM combination group was 80%, which was significantly higher than 43% (P <0.05) of traditional Chinese medicine compound preparation group and 52% (P <0.05) of western medicine nasal spray group. No obvious adverse reactions. Conclusion: The combination of Chinese and Western medicine for the treatment of allergic rhinitis, than the simple prescription of traditional Chinese medicine or histamine H1 receptor antagonist treatment of clinical effect is better, safe and effective, worthy of clinical application.