自拟养阴食疗方治疗小儿脾胃阴虚型厌食的临床疗效观察

发布时间：2018-04-13 19:48

本文选题：小儿厌食 + 食疗方　；参考：《福建中医药大学》2017年硕士论文

【摘要】：目的:小儿厌食症是临床的常见病,近年来发病率呈增长的趋势,本研究通过临床观察导师治疗小儿厌食"脾胃阴虚"型的临床疗效,分析探讨自拟养阴食疗方治疗该病该证的可能机制,发挥中医中药配合食疗治疗该病的优势,为临床建立更好、更合理的治疗方案提供证据和参考。方法:本课题的研究内容为临床研究;采取随机对照观察方法;运用中医证候评分表观察患者治疗前后的临床症状及体征等变化情况;将观察患儿的临床疗效差异进行统计学分析;密切观察临床治疗中产生的不良反应,随时记录。结果:①两组患儿治疗前一般情况(年龄、性别、病程、证候总积分、主症次症积分等方面)无统计学差异,具有可比性。②症状改善方面:两组在改善中医症状、体征方面均有统计学意义,且实验组在主症和次症的改善上优于对照组。③疾病疗效上:实验组治愈率13.33%,显效率63.33%,有效率23.33%,无效0.00%,总有效率100%;对照组治愈率0.00%,显效率26.67%,有效率66.67%,无效6.67%,总有效率93.33%,实验组明显优于对照组。④中医症状、体征疗效上:实验组与对照组的治疗方法均能降低小儿脾胃阴虚型厌食的中医症状、体征积分,即都能起到治疗效果。但实验组在中医症状、体征积分总有效率(96.67%)高于对照组的中医症状、体征积分总有效率(90.00%),二组疗效比较有统计学差异(P0.05),实验组疗效优于对照组。结论:导师自拟养阴食疗方治疗小儿厌食(脾胃阴虚型)有效,且优于口服养胃增液汤,具有临床价值。
[Abstract]:Objective: anorexia in children is a common clinical disease. The incidence of anorexia in children is increasing in recent years.This paper analyzes and discusses the possible mechanism of treating this disease with self-made prescription of nourishing yin, exerting the advantages of traditional Chinese medicine combined with diet therapy to provide evidence and reference for establishing a better and more reasonable treatment scheme in clinic.Methods: the research contents of this subject are clinical research, random controlled observation method, clinical symptoms and signs of patients before and after treatment with TCM syndrome score table, and the changes of clinical symptoms and signs before and after treatment.The difference of clinical efficacy was analyzed statistically. Adverse reactions were observed and recorded at any time.Results there was no statistical difference between the two groups before treatment (age, sex, course of disease, total score of syndromes, integral score of major and secondary symptoms, etc.). There was no significant difference between the two groups in improving symptoms of traditional Chinese medicine (TCM).There was statistical significance in physical signs,And the experimental group is superior to the control group in the improvement of the main and secondary diseases: the cure rate of the experimental group is 13.33, the effective rate is 63.33, the effective rate is 23.333.33, the effective rate is 23.333.33, the total effective rate is 100; the cure rate of the control group is 0.005, the obvious efficiency is 26.67, the effective rate is 66.67, the invalid 6.67 is not effective, and the total effective rate is 100.The efficiency was 93.33 and the experimental group was obviously superior to the control group in the symptoms of traditional Chinese medicine.The effect of signs: the experimental group and the control group can reduce the children's spleen and stomach yin deficiency type anorexia TCM symptoms, signs integral, that is, can play a therapeutic effect.But in the experimental group, the total effective rate of TCM symptom, physical sign integral was 96.677.It was higher than that of the control group, and the total effective rate of the physical sign integral was 90.000.The curative effect of the two groups was significantly different (P0.05), and the experimental group was superior to the control group.Conclusion: Yin-nourishing prescription is effective in treating children's anorexia (spleen and stomach yin deficiency), and is superior to oral Yangwei Zengye decoction and has clinical value.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R272

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