健脾增意饮治疗小儿厌食症（脾胃气虚型）的临床疗效观察

发布时间：2018-12-08 17:54

【摘要】：目的：探讨健脾增意饮治疗小儿厌食症（脾胃气虚型）在临床治疗厌食症（脾胃气虚型）的有效性、安全性。方法：本课题收集小儿厌食症符合中医脾胃气虚型患儿60例，随机分为2组，治疗组31例给予健脾增意饮治疗，对照组29例给予健胃消食片治疗，，用药前详细记录患儿的症状、体征积分，然后分别给药14天，记录患儿症状、体征改善情况，观察结束后，对各项量化指标进行统计学处理。结果：治疗两周后，治疗组与对照组的总有效率比较，治疗组为96.8%，对照组为82.8%，经统计学处理，P＜0.01，有显著差异；两组在改善食欲、面色、精神、体重、大便方面，P＜0.05，有统计学差异；在主要症状及体征积分方面，P＜0.01，有显著差异；在微量元素Zn、血红蛋白含量（Hb）增加方面，P＜0.05，有统计学意义。治疗过程中，各组病人未出现明显不良反应，肝肾功、心电图未见异常。结论：由此可见，健脾增意饮是治疗小儿厌食症中医属脾胃气虚型的有效方剂，具有显著的增加食欲，改善症状的作用，优于对照组治疗，且费用低廉，副作用少，亦证实了中医药在治疗小儿脾胃气虚型厌食症上的作用，是值得推广的治疗方案。
[Abstract]:Objective: to investigate the efficacy and safety of Jianpi Zengyi decoction in the treatment of anorexia in children (spleen and stomach qi deficiency). Methods: 60 children with anorexia were randomly divided into two groups: the treatment group (31 cases) was treated with Jianpi Zengyi decoction, the control group (29 cases) was treated with Jianwei Xiaoshi tablet, and the symptoms of the children were recorded in detail before the treatment. The symptoms and signs of the children were recorded. After observation, the quantitative indexes were statistically processed. Results: after two weeks of treatment, the total effective rate of the treatment group and the control group was 96.8 and 82.8, respectively. There was significant difference between the treatment group and the control group (P < 0.01). There were significant differences between the two groups in improving appetite, complexion, spirit, body weight and stool (P < 0.05), and in the integral of main symptoms and signs (P < 0.01). There was statistical significance in the increase of (Hb) content of trace element Zn, hemoglobin (P < 0.05). In the course of treatment, there were no obvious adverse reactions, liver and kidney function, electrocardiogram (ECG) were not abnormal in each group. Conclusion: it can be seen that Jianpi Zengyi decoction is an effective prescription for the treatment of children anorexia with deficiency of spleen and stomach qi. It can significantly increase appetite and improve symptoms. It is superior to the control group in treatment, and the cost is low, and the side effects are less. It is also proved that Chinese medicine is worth popularizing in treating children's anorexia due to deficiency of spleen and stomach qi.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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