摘要
目的:探讨龙牡壮骨颗粒联合中药热奄包外敷治疗脾虚中寒型小儿夜啼的临床疗效,为临床诊治提供参考。方法:选择医院儿童保健门诊就诊的90例脾虚中寒型小儿夜啼作为研究对象,随机分为对照组和观察组各45例。其中,对照组患儿给予钙剂与维生素D口服治疗,观察组患儿给予龙牡壮骨颗粒联合中药热奄包外敷治疗,疗程均为7d。比较两组患儿治疗前后舌苔指纹、中医证候评分及啼哭次数、24h睡眠时间、睡眠质量及临床症状消失时间变化,观察两组患儿治疗效果差异,分析两组患儿性别、年龄与疗效的关系。结果:与治疗前相比,两组患儿治疗后的啼哭次数、24h睡眠时间、夜啼症状出现时间、夜啼平均持续时间、睡眠障碍评分及中医证候评分均明显降低,观察组患儿降低更为显著(P<0.05),而两组患儿在舌苔及指纹异常变化方面差异无统计学意义(P>0.05)。观察组患儿的啼哭有效率为91.11%,明显高于对照组的62.22%(P<0.05)。其治疗效果与患儿的年龄、性别无相关性(P>0.05)。结论:龙牡壮骨颗粒联合中药热奄包外敷治疗脾虚中寒型小儿夜啼,可有效改善患儿夜啼症状,延长睡眠时间,效果显著,具有一定的临床应用价值。
Objective:To explore the clinical efficacy of Longmu Zhuanggu Granules combined with Chinese herbal medicine Reyan package and external application of spleen deficiency in children with cerebral palsy and its clinical diagnosis and treatment.Methods:90 cases of nocturnal crying in children with spleen deficiency and moderate cold type were selected as the study objects,and randomly divided into control group and observation group,each with 45 cases.The children in the control group were given oral treatment with calcium and vitamin D.The children in the observation group were treated with Longmu Zhuanggu Granules combined with traditional Chinese medicine Reyan package,and the course of treatment was 7 days.The changes of tongue coating fingerprint,TCM symptom score and crying frequency,24 hsleep time and clinical symptom disappearance were compared before and after treatment.The difference of treatment effect between the two groups was observed.The relationship between gender,age and curative effect was analyzed.Results:Compared with before treatment,the number of crying,24 hsleep time,nighttime symptoms,mean nighttime duration,sleep disorder score and TCM symptom scores of the two groups were significantly lower,and the above indicators decreased more significantly in the observation group(P<0.05).There was no significant difference in the abnormal changes of tongue coating and fingerprint between the two groups(P>0.05).The effective rate of crying in the observation group was 91.11%,which was significantly higher than that in the control group(62.22%)(P<0.05).There was no correlation between the treatment effect and the age and gender of the children(P>0.05).Conclusion:Longmu Zhuanggu Granules combined with Chinese herbal medicine Reyan package for external treatment of spleen deficiency and cold type children,s nocturnal crying can effectively improve the symptoms of nightingale,prolong the sleep time,and have significant clinical application value.
作者
何春霞
刘晶
李华
逯俊霞
He Chunxia;Liu Jing;Li Hua;Lu Junxia(The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)
出处
《亚太传统医药》
2021年第9期67-70,共4页
Asia-Pacific Traditional Medicine
关键词
龙牡壮骨颗粒
中药热奄包外敷
脾虚中寒型
小儿夜啼
Longmu Zhuanggu Granule
Traditional Chinese Medicine Reyan Package Excipient
Spleen Deficiency and Cold Type
Children’s Nocturnal Crying
