香砂增食汤治疗小儿脾虚夹积型厌食的临床观察

发布时间：2018-06-15 09:09

本文选题：香砂增食汤 + 小儿厌食　；参考：《黑龙江中医药大学》2012年硕士论文

【摘要】：目的：观察香砂增食汤治疗小儿脾虚夹积型厌食的临床疗效。进一步探讨小儿厌食症的发病机理及理气健脾、消食祛积法防治小儿脾虚夹积型厌食症的初步作用机制,为临床治疗小儿厌食症提供思路。方法：临床将来源于黑龙江中医药大学附属第一医院儿科门诊符合纳入标准的小儿脾虚夹积型厌食的患儿60例,随机分为两组,其中治疗组30例,口服香砂增食汤；对照组30例,口服保和丸。两组均以1个月为一个疗程,治疗后根据观察指标改善情况评分,进行统计分析,评价出药物的有效性。结果：从临床观察结果来看,服用香砂增食汤后患儿食欲明显好转,食量明显增加,临床相关症状面色、神疲、腹胀、形体消瘦、大便、手足心热、夜寐不安、苔腻均明显好转或消失,提高了血红蛋白、血锌含量,充分证实了其在改善临床症状方面有较好效果,疾病疗效和证候积分均优于对照组(P0.05),治疗组总有效率为86.7%,对照组为76.7%,说明治疗组香砂增食汤优于对照组保和丸的疗效,可以较好的用于治疗小儿脾虚夹积型厌食症,且两组患儿在治疗中均未发生不良反应。结论：1.香砂增食汤治疗小儿脾虚夹积型厌食症疗效确切,且尚未发现不良反应,值得临床推广使用。 2.香砂增食汤在改善中医症候,增加患儿食欲、食量上明显优于对照组。
[Abstract]:Objective: to observe the clinical effect of Xiangsha Zengshi decoction (Xiangsha Zengshi decoction) on infantile anorexia due to spleen deficiency. To further explore the pathogenesis of infantile anorexia and the primary mechanism of regulating qi and invigorating spleen and eliminating food and removing accumulation to prevent and treat infantile anorexia with spleen deficiency and accumulation, and to provide ideas for clinical treatment of infantile anorexia. Methods: sixty children with anorexia due to spleen deficiency were randomly divided into two groups: the treatment group (n = 30) was treated with Xiangsha Zengshi decoction, and 30 cases were treated with Xiangsha Zengshi decoction (Xiangsha Zengshi decoction) in the pediatric outpatient department of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. Control group 30 cases, oral Baohe pills. The two groups were treated with one month as a course of treatment. The efficacy of the drug was evaluated by statistical analysis according to the improvement of the observation index. Results: after taking Xiangsha Zengshi decoction, the appetite was obviously improved, the amount of food was obviously increased, the clinical symptoms were facial color, fatigue, abdominal distension, body weight loss, defecation, hot hands and feet, restlessness at night. The greasy moss was obviously improved or disappeared, which increased the content of hemoglobin and zinc in blood, and fully proved that it had better effect in improving clinical symptoms. The total effective rate was 86.7 in the treatment group and 76.7in the control group, indicating that Xiangsha Zengshi decoction in the treatment group was superior to the Baohe pill in the control group, and could be better used in the treatment of anorexia due to spleen deficiency, and the total effective rate was 86.7 in the treatment group and 76.7in the control group, indicating that the therapeutic effect of Xiangsha Zengshi decoction in the treatment group was better than that in the control group. There were no adverse reactions in both groups. Conclusion 1. Xiangsha Zengshi decoction is effective in the treatment of infantile anorexia due to spleen deficiency, and no adverse reactions have been found, which is worth popularizing in clinic. 2. Xiangsha Zengshi decoction is superior to the control group in improving TCM symptoms, increasing appetite and eating quantity.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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