摘要
目的观察中药内服外敷治疗小儿肠系膜淋巴结炎湿热蕴脾证的临床疗效。方法将符合诊断标准的60例肠系膜淋巴结炎湿热蕴脾证患儿随机分为治疗组和对照组,各30例。治疗组口服木香导滞丸加减,并予自拟散结方外敷神阙、中脘、天枢穴,对照组给予双歧三联活菌胶囊口服,7d后统计疗效。结果治疗组总有效率为93.3%,对照组为80.0%,2组总有效率经统计学分析,差异有统计意义(P<0.05);2组治疗后淋巴结纵径、横径均较治疗前显著缩小(P<0.05),且治疗组纵径、横径缩小幅度均大于对照组(P<0.05)。结论木香导滞丸加减能有效减轻肠系膜淋巴结炎湿热蕴脾证患儿的症状、体征,缩小肿大的肠系膜淋巴结,值得在临床推广和应用。
Objective To observe the clinical efficacy of taking TCM internal an d external medicine to treat children with mesenteric lymphadenitis of damp-heat retention in spleen. Methods 60 cases of children diagnosed as mesenteric lymphadenitis of damp-heat retention in spleen type were randomly divided into therapy group（n=30） and control group（n=30）. Patients in therapy group were treated with modifying Muxiang Daozhi Pills,and external application of self-made Sanjie Fang to Shenque（RN08）,Zhongwan（RN12）,Tianshu（ST25）.Patients in control group were given Bifid Triple Viable Capsules. Clinical efficacy of two groups was observed after 7 days. Results The total effective rate was 93.3% in therapy group and 80.0% in control group with statistically significant difference（P〈0.05）. After treatment,the longitudinal diameter and transverse diameter of lymphonodus in two groups were shorter obviously after treatment than before treatment（P〈0.05）,the reduction range in therapy group was greater than that in control group（P〈0.05）.Conclusion Modifying Muxiang Daozhi Pills can alleviate symptoms of children with mesenteric lymphadenitis of damp-heat retention in spleen by shrinking swollen mesenteric lymphonodus,which is worthy of clinical promotion.
出处
《中医儿科杂志》
2017年第2期57-60,共4页
Journal of Pediatrics of Traditional Chinese Medicine
基金
广东省中医药管理局资助项目(20141012)
关键词
肠系膜淋巴结炎
小儿
湿热蕴脾证
木香导滞丸
散结方
临床观察
mesenteric lymphadenitis
children
damp-heat retention in spleen
MuxiangDaozhi Pills
Sanjie Fang
clinical observation
