开胃进食汤治疗脾胃气虚型小儿厌食症疗效观察

发布时间：2018-05-26 22:10

本文选题：开胃进食汤 + 小儿厌食症　；参考：《长春中医药大学》2014年硕士论文

【摘要】：目的：观察清代名方开胃进食汤治疗脾胃气虚型小儿厌食症的疗效，为临床治疗小儿厌食症提供科学依据。方法：收集符合脾胃气虚型的小儿厌食症患者60例，随机分为2组，即为治疗组和对照组，两组均为30例，分别给予开胃进食汤和健胃消食片治疗，用药前详细记录患者的症状、体征，然后分别给药14天后，记录患者症状、体征改善情况，观察结束后，对各项指标进行统计学处理。结果：经过两周的治疗后，给予开胃进食汤的治疗组30例患儿中,痊愈13，显效14例，有效2例，无效1例，总有效率为96.7%,给予健胃消食片的对照组30例患儿中,痊愈8例，显效10例，有效3例，无效9例，总有效率70%。两组总有效率经精确概率法比较，有明显的差异(P0.05)，说明给予开胃进食汤治疗的治疗组有效率优于给予健胃消食片为治疗的对照组。治疗后，两组症状总积分比较，，经方差性t检验，P=0.007＜0.01，有明显差异，说明以开胃进食汤为治疗的治疗组的在症状总积分方面优于以健胃消食片为治疗的对照组。治疗后，两组面色积分比较， P0.05，两组食欲、食量、流汗、精神、大便积分相比较，P0.01，有明显差异，说明以开胃进食汤为治疗的治疗组在改善食欲、食量、流汗、精神、大便等症状明显优于以健胃消食片为治疗的对照组。结论：开胃进食汤是治疗小儿厌食症脾胃气虚型的有效方剂，具有显著的增加食欲、食量，改善临床症状的作用，临床运用方便、经济和安全，值得推广。
[Abstract]:Objective: to observe the curative effect of Kaiwei food decoction in Qing Dynasty on children anorexia with deficiency of spleen and stomach qi, and to provide scientific basis for clinical treatment of infantile anorexia. Methods: sixty children with anorexia of spleen and stomach qi deficiency type were randomly divided into two groups: treatment group and control group. 30 cases in both groups were treated with Kaiwei decoction and Jianwei Xiaoshi tablet respectively. The symptoms and signs of the patients were recorded in detail before the treatment. After 14 days of administration, the symptoms and signs of the patients were recorded. After observation, the indexes were treated statistically. Results: after two weeks of treatment, there were 13 cases cured, 14 cases effective, 2 cases effective, 1 case ineffective, and the total effective rate was 96.7% in the treatment group with Kaiwei decoction, 8 cases were cured in the control group of 30 cases who were given Jianwei Xiaoshi tablet. There were 10 cases of remarkable effect, 3 cases of effective and 9 cases of ineffective. The total effective rate was 70%. Compared with the accurate probability method, the total effective rate of the two groups was significantly different (P 0.05), which indicated that the effective rate of the treatment group was better than that of the control group treated with Jianwei Xiaoshi tablet. After treatment, the total score of symptoms of the two groups was compared, the variance t test (P < 0. 007 < 0. 01) showed that the treatment group treated with Kaiwei food decoction was better than the control group treated with Jianwei Xiaoshi tablet in the total symptom integral. After treatment, there was a significant difference in the score of facial color between the two groups, P0.05, appetite, food quantity, sweating, mental and stool scores, indicating that the treatment group treated with the appetizer diet decoction was improving appetite, food intake, perspiration, and spirit. Stool and other symptoms were significantly better than the control group treated with Jianwei Xiaoshi tablet. Conclusion: Kaiwei decoction is an effective prescription for the treatment of deficiency of spleen and stomach qi in children with anorexia. It can significantly increase appetite, food consumption and improve clinical symptoms. It is convenient, economical and safe in clinical application and is worth popularizing.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R272

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