补中益气汤加减治疗肺脾气虚型小儿遗尿症临床观察
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摘要
目的:观察补中益气汤加减治疗小儿遗尿症肺脾气虚证的临床疗效。方法:将60例小儿遗尿症肺脾气虚证患儿随机分为两组各30例。对照组给予缩泉丸口服,治疗组予补中益气汤加减口服。4周为1疗程,2组均治疗2个疗程后评价疗效,并在治疗结束3月后,对所有患儿进行随访。结果:对照组总有效率为80.0%,治疗组为96.6%,两组比较,差异有统计学意义(P﹤0.05);治疗后2组的中医证候积分均下降,两组比较,差异有统计学意义(P﹤0.01)。结论:补中益气汤加减治疗小儿遗尿症肺脾气虚证疗效较好。
Objective:To observe the clinical effect of moified Buzhong Yiqi decoction on childhood enuresis of lung-spleen Qi deficiency syndrome. Methods:60 cases of patients with childhood enuresis of lung-spleen Qi deficiency syndrom were randomly divided into two gtoups, 30 cases in each group. The control group was treated with oral Suoquan pills,while the tratment group was treated with oral moified Buzhong Yiqi decoction, 4 weeks as a course of treatment. After 2 courses of treatment, the curative effect was evaluated in two groups,and all patients were followed up 3 months later after the end of treatment. Results:The total effective rate was 80.0% in control group and 96.6% in treatment group;compared between two groups, the difference was statistically significant(P ﹤ 0.05). After treatment, the TCM syndrome scores of both groups decreased;and compared between two groups,the difference was statistically significant(P﹤0.01). Conclusion:the clinical effect of moified Buzhong Yiqi decoction on childhood enuresis of lung-spleen Qi deficiency syndrome is better.
Objective:To observe the clinical effect of moified Buzhong Yiqi decoction on childhood enuresis of lung-spleen Qi deficiency syndrome. Methods:60 cases of patients with childhood enuresis of lung-spleen Qi deficiency syndrom were randomly divided into two gtoups, 30 cases in each group. The control group was treated with oral Suoquan pills,while the tratment group was treated with oral moified Buzhong Yiqi decoction, 4 weeks as a course of treatment. After 2 courses of treatment, the curative effect was evaluated in two groups,and all patients were followed up 3 months later after the end of treatment. Results:The total effective rate was 80.0% in control group and 96.6% in treatment group;compared between two groups, the difference was statistically significant(P ﹤ 0.05). After treatment, the TCM syndrome scores of both groups decreased;and compared between two groups,the difference was statistically significant(P﹤0.01). Conclusion:the clinical effect of moified Buzhong Yiqi decoction on childhood enuresis of lung-spleen Qi deficiency syndrome is better.
引文
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[3]沈茜,刘小梅,姚勇,等.中国儿童单症状性夜遗尿疾病管理专家共识[J].临床儿科杂志,2014,32(10):970-975.
[4]初梅,曹力,陈朝英,等.醋酸去氨加压素治疗儿童原发性单症状性夜间遗尿症临床研究[J].临床儿科杂志,2015,33(12):1 031-1 034.
[5]王仲易,杜可,李晨,等.中医儿科临床诊疗指南·小儿遗尿症(修订)[J].中医儿科杂志,2018,14(1):4-8.
[6]王玉龙,韩金凤.补中益气汤探源[J].临床医药文献电子杂志,2018,5(85):182-183.
[7]陈少丽,李强,都广礼.升麻柴胡为补中益气汤“要药”的研究考证[J],时珍国医国药,2018,29(11):2 711-2 713.
[8]余光青,冷伟.浅谈麻黄在小儿遗尿症中的应用[J].现代中医药,2018,38(5):109-111.