摘要
目的:探究与分析改良隔药脐灸联合敷贴序贯治疗小儿厌食症(脾气虚证)的临床疗效及对预后复发的影响。方法:选取我院2019年2月至2022年3月收治的小儿厌食症(脾气虚证)120例患儿,采取随机数字表法将其随机分为3组,每组各40例,对照组采用中药制剂厌食贴外敷治疗;治疗A组在对照组的基础上加用传统隔姜脐灸治疗;在对照组的基础上治疗B组加用改良隔药脐灸治疗,3组患儿均连续治疗4周,对比3组患儿的临床疗效、治疗前后主症积分和次症积分,同时对比3组治疗后4周、8周及12周的复发率。结果:治疗B组、治疗A组、对照组临床总有效率分别为95.00%(38/40)、80.00%(32/40)、62.5%(25/40),治疗B组临床总有效率均高于治疗A组和对照组(P<0.05)。3组患儿治疗后主症积分及次症积分均较治疗前降低,治疗B组患儿治疗后主症积分及次症积分均低于治疗A组、对照组,治疗A组患儿治疗后主症积分及次症积分均低于对照组,差异均有统计学意义(P<0.05)。随访8周时,治疗B组复发率[2.50%(1/40)]低于对照组[20.00%(8/40)],随访12周时,治疗B组复发率[2.50%(1/40)]低于治疗A组[17.50%(7/40)]和对照组[30.00%(12/40)],差异均有统计学意义(P<0.05)。结论:改良隔药脐灸与敷贴序贯联合治疗小儿厌食症(脾气虚证)可获得显著的临床疗效,促进改善患儿的临床症状及体征,同时在短期时间内有效避免了疾病的复发,具有较高的应用价值。
Objective:To explore and analyze the clinical effect of modified umbilical moxibustion combined with sequential application on anorexia in children with spleen-qi deficiency syndrome.Methods:A total of 120 children with anorexia admitted to our hospital from February 2019 to March 2022 were randomly divided into 3 groups,with 40 cases in each group.The control group was treated with anorexia patch with traditional Chinese medicine,the treatment group A was treated with traditional diaphragm umbilical moxibustion on the basis of the control group,while the treatment group B was treated with modified diaphragm umbilical moxibustion,and the course is 4 weeks.The clinical efficacy,major symptom points and minor symptom points before and after treatment of the three groups were compared,and the recurrence rates of the three groups at 4 weeks,8 weeks and 12 weeks after treatment were observed.Results:The total clinical effective rates of treatment group B,treatment group A,and control group were 95.00%(38/40),80.00%(32/40),and 62.5%(25/40),respectively.The total clinical effective rates of treatment group B were higher than those of treatment group A and control group(P<0.05).After treatment,the main symptom score and secondary symptom score of the three groups of children decreased compared to before treatment.The main symptom score and secondary symptom score of the treatment group B were lower than those of the treatment group A and the control group.The main symptom score and secondary symptom score of the treatment group A were lower than those of the control group after treatment,and the differences were statistically significant(P<0.05).At a follow-up of 8 weeks,the recurrence rate of Group B[2.50%(1/40)]was lower than that of the control group[20.00%(8/40)].At a follow-up of 12 weeks,the recurrence rate of Group B[2.50%(1/40)]was lower than that of Group A[17.50%(7/40)]and the control group[30.00%(12/40)],and the differences were statistically significant(P<0.05).Conclusion:The combination of modified diaphragm umbilical moxibustion and sequential application can achieve significant clinical efficacy in the treatment of pediatric anorexia(spleen-qi deficiency syndrome),promote the improvement of clinical symptoms and signs in children,and effectively avoid disease recurrence in the short term,with high application value.
作者
李茜
张萍
段保全
LI Qian;ZHANG Ping;DUAN Baoquan(The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji'nan Shandong 250001,China)
出处
《中医药导报》
2024年第1期86-88,92,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
山东省中医药科技发展计划项目(2019-0225)。
关键词
改良隔药脐灸
穴位敷贴
隔姜脐灸
序贯治疗
小儿厌食症
脾气虚证
临床研究
modified umbilical moxibustion
acupoint application
moxibustion across ginger navel
sequential treatment
infantile anorexia
spleen-qi deficiency syndrome
clinical research
