中西医结合诊治小儿腺样体肥大的研究进展

Research Progress of Integrated Traditional Chinese and Western Medicine in the Diagnosis and Treatment of Pediatric Adenoid Hypertrophy

摘要: 腺样体肥大是小儿的常见病、多发病，会造成小儿腺样体面容、中耳炎、耳鸣、听力减退等多种临床症状或并发症，严重影响儿童智力及体格发育，中医方面将此病病因病机概括为“气滞、血瘀、痰结”等，采用祛除外邪、清热解毒的方药或者可以辅助中医特色治疗为主要治疗方案；西医认为该病有感染因子的刺激、咽喉反流、变态反应抗生素的滥用为主要原因，临床采用如白三烯受体拮抗剂、鼻用糖皮质激素为主要治疗药物。本文通过搜集相关文献在中西医方面对治疗小儿腺样体肥大的研究进展进行概括。

Abstract: Adenoid hypertrophy is a common and frequent disease in children, which can cause a variety of clinical symptoms or complications such as adenoid face, otitis media, tinnitus, hearing loss, and seriously affect children’s intelligence and physical development. In traditional Chinese medicine, the etiology and pathogenesis of this disease are summarized as “qi stagnation, blood stasis, phlegm”, etc. The prescription of removing external pathogens, clearing away heat and detoxification or assisting the characteristic treatment of traditional Chinese medicine is the main treatment plan. Western medicine believes that the disease is mainly caused by the stimulation of infectious agents, laryngopharyngeal reflux, and the abuse of allergic antibiotics. In clinical practice, leukotriene receptor antagonists and nasal glucocorticoids are used as the main treatment drugs. This article summarizes the research progress of the treatment of pediatric adenoid hypertrophy in the aspects of traditional Chinese and western medicine by collecting relevant literature.