调脾方治疗小儿厌食症的临床疗效研究

发布时间：2018-03-28 04:20

  本文选题：调脾方　切入点：小儿厌食症　出处：《北京中医药大学》2012年硕士论文

【摘要】：目的：本文运用运脾和胃法原理自拟调脾方,并观察其治疗小儿厌食症的临床疗效,另外对其组方特点及方药进行深入的探讨,旨在评价调脾方对于厌食症患儿临床疗效及证候改善情况,为厌食症患儿寻求一种安全、高效、经济的药物,并为下一步院内制剂的研发提供一定的临床依据。 方法：1.选择符合小儿厌食症诊断标准的患儿60例为研究对象,随机分为治疗组30例(调脾方)和对照组30例(小儿健脾化积口服液),治疗期限为4周。2.记录患儿用药前后的临床症状体征,并进行评分,判定病情,治疗结束后比较两组总有效率及治疗前后各症状体征改善情况。 结果：1、从临床疗效方面来比较：治疗组治愈13例,显效6例,有效8例,无效1例,总有效率96.7%；对照组痊愈4例,显效9例,有效11例,无效6例,总有效率80.0%。2、从中医症候征疗效比较：治疗组痊愈0例,显效19例,有效11例,无效0例,总有效率100%；对照组痊愈0例,显效5例,有效21例,无效4例,总有效率86.7%。两组疗效相比有显著性差异(P0.05)。3、治疗组和对照组经统计学分析,均能改善厌食患儿的食欲食量及相关症状,但治疗组在改善厌食患儿食欲、食量、体质量、面色、性情、大便不调等方面均优于对照组(P0.05),有统计学意义。在形体、头发、啮齿、指纹方面两组均较疗前有改善,但两者无明显差异(P0.05)。4、临床疗效结果与病情轻重、病程长短及年龄大小无明显关系。 结论：调脾方和小儿健脾化积口服液在治疗小儿厌食症方面均有效,但是调脾方效果更加显著。由此可见调脾方是治疗小儿厌食症的有效方剂,具有显著的增加食量食欲,改善症状的作用,治疗效果优于中成药治疗,体现了中医辨证论治的优势,而且副作用少,费用低廉,同时亦证实了中医药在治疗小儿厌食症上的作用,是值得推广的治疗方案。
[Abstract]:Objective: in this paper, the spleen and stomach to the principle of self regulating the spleen, and to observe the clinical effect of the treatment of infantile anorexia, and in-depth discussion on the composing characteristics and prescription, to evaluate the clinical efficacy and prescription for regulating spleen syndrome in children with anorexia symptoms for children with anorexia, seeking a safe high efficiency, economy, medicine, and to provide a clinical basis for the development of the next preparation in the hospital.
Methods: 1. children with anorexia in accordance with diagnostic criteria of 60 patients as the research object, randomly divided into treatment group 30 cases (spleen Decoction) and a control group of 30 cases (pediatric spleen oral liquid product), treatment for a period of 4 weeks.2. were recorded before and after treatment, clinical symptoms and signs, and score judge the illness, treatment after the total efficiency of two groups before and after treatment of the symptoms and signs of improvement.
缁撴灉锛，

本文编号：1674730