推拿治疗小儿厌食症脾失健运型43例临床观察
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摘要
目的观察推拿治疗小儿厌食症脾失健运型的临床疗效。方法将我院中医儿科2016年7月至2017年10月收治的86例厌食症脾失健运型患儿随机分为推拿组和对照组,各43例。推拿组采用推拿治疗,对照组采用自拟消食健脾合剂治疗,2组均连续治疗4周后统计疗效。结果对照组临床总有效率为81.40%,推拿组为86.05%,2组比较,差异无统计学意义(P>0.05);对照组中医证候总有效率为93.02%,推拿组为90.70%,2组比较,差异无统计学意义(P>0.05);对照组总不良反应发生率为11.63%,推拿组为0,2组比较,差异有统计学意义(P<0.05)。结论推拿与自拟消食健脾合剂治疗小儿厌食症脾失健运型临床疗效相当,但推拿可减少药物的使用及药物相关不良反应,值得临床推广应用。
Objective To observe the clinical efficacy of massage in the treatment of infantile anorexia with syndrome of failure of spleen in transportation. Methods Eighty-six cases of infantile anorexia with syndrome of failure of spleen in transportation admitted in TCM pediatrics department of our hospital from July 2016 to October 2017 were randomly divided into massage group and control group,43 cases in each one. The massage group was given massage therapy,while the control group was given self-made Xiaoshi Jianpi Heji( 消食健脾合剂).After the two groups were both treated for 4 consecutive weeks,we made the statistics. Results The total clinical effective rate of the control group was 81.40%,that of the massage group was 86.05%,there was no statistical significance between the two groups( P>0.05).The total effective rate of TCM syndromes of the control group was 93.02%,that of the massage group was 90.70%,there was no statistical significance between the two groups( P>0.05).The total adverse reactions rate of the control group was 11.63%,that of the massage group was 0,there was statistical significant difference between the two groups( P < 0.05). Conclusion The clinical efficacy of massage is equivalent to that of self-made Xiaoshi Jianpi Heji in the treatment of infantile anorexia with syndrome of failure of spleen in transportation,but massage can reduce the use of drugs and drug related adverse reactions,which deserves clinical promotion and application.
Objective To observe the clinical efficacy of massage in the treatment of infantile anorexia with syndrome of failure of spleen in transportation. Methods Eighty-six cases of infantile anorexia with syndrome of failure of spleen in transportation admitted in TCM pediatrics department of our hospital from July 2016 to October 2017 were randomly divided into massage group and control group,43 cases in each one. The massage group was given massage therapy,while the control group was given self-made Xiaoshi Jianpi Heji( 消食健脾合剂).After the two groups were both treated for 4 consecutive weeks,we made the statistics. Results The total clinical effective rate of the control group was 81.40%,that of the massage group was 86.05%,there was no statistical significance between the two groups( P>0.05).The total effective rate of TCM syndromes of the control group was 93.02%,that of the massage group was 90.70%,there was no statistical significance between the two groups( P>0.05).The total adverse reactions rate of the control group was 11.63%,that of the massage group was 0,there was statistical significant difference between the two groups( P < 0.05). Conclusion The clinical efficacy of massage is equivalent to that of self-made Xiaoshi Jianpi Heji in the treatment of infantile anorexia with syndrome of failure of spleen in transportation,but massage can reduce the use of drugs and drug related adverse reactions,which deserves clinical promotion and application.
引文
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[2]豆玉凤,史艳平.健脾消积汤治疗小儿厌食症临床研究[J].陕西中医,2016,37(7):812-813.
[3]胡亚美,江载芳.诸福棠实用儿科学[M].7版.北京:人民卫生出版社,2002:1120-1125.
[4]汪受传.中医儿科学[M].2版.北京:人民卫生出版社,2011:632-633.
[5]中华人民共和国卫生部.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2012:245-246.
[6]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:478-479.
[7]邵亚新,陈博宇,史睿.中医内外合治法治疗儿童厌食症脾失健运型32例临床观察[J].中医儿科杂志,2017,13(4):75-77.