“董氏针药”治疗小儿厌食症的大样本随机对照临床研究

发布时间：2017-12-28 13:20

本文关键词：“董氏针药”治疗小儿厌食症的大样本随机对照临床研究　出处：《上海中医药杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的观察"董氏针药"治疗小儿厌食症的临床疗效。方法将4 050例厌食症患儿随机分为苏脾饮组、山麦组及董氏针药组,每组1 350例。苏脾饮组予董氏苏脾饮,山麦组予山麦健脾口服液,董氏针药组予董氏苏脾饮加针刺四缝穴综合治疗。观察临床疗效,比较起效时间、中医证候积分、身高、体质量及血红蛋白水平的变化情况。结果 (1)试验期间共脱落489例,最终完成试验者共3 561例,其中苏脾饮组1 121例、山麦组1 117例、董氏针药组1 323例。(2)苏脾饮组、山麦组、董氏针药组临床总有效率分别为72.26%、70.01%和90.02%;组间临床疗效比较,董氏针药组明显优于苏脾饮组、山麦组(P0.05),而苏脾饮组与山麦组差异无统计学意义(P0.05)。(3)组间起效时间比较差异有统计学意义,董氏针药组起效时间明显快于其余两组(P0.05),苏脾饮组与山麦组差异无统计学意义(P0.05)。(4)治疗前后组内比较,各组中医证候积分差异均有统计学意义(P0.05);组间治疗前后中医证候积分差值比较,董氏针药组明显高于其余两组(P0.05),而苏脾饮组与山麦组差异无统计学意义(P0.05)。(5)组间治疗后身高、体质量及血红蛋白水平比较,差异无统计学意义(P0.05)。结论 "董氏针药"治疗小儿厌食症,可显著改善患儿的食欲、增加食量,而见效较快是优势。
[Abstract]:Objective To observe the clinical efficacy of "Dong's acupuncture" in the treatment of anorexia in children. Methods 4050 cases of infantile anorexia were randomly divided into Jiangsu spleen Decoction group, Shanmai group and Dong's acupuncture medicine group, 1350 cases in each group. Su Su Dong Decoction group to spleen spleen decoction, Shanmai group received Shanmai invigorating spleen oral liquid, acupuncture and medicine group, Dong Dong Su spleen decoction combined with acupuncture treatment of four sewing hole. The clinical effect was observed and the changes of the effect time, TCM syndrome score, height, body mass and hemoglobin level were compared. Results (1) were off 489 cases, the final completion of the test were 3561 cases, including 1121 cases of Spleen Yin Su, Shanmai group of 1117 cases, Dong's acupuncture medicine group of 1323 cases. (2) Su spleen Decoction group, Shanmai group, Dong's acupuncture medicine group clinical total effective rate was 72.26%, 70.01% and 90.02%; to compare the clinical efficacy between the two groups, the acupuncture medicine group is obviously better than that of Su Dong's spleen Decoction group, Shanmai group (P0.05), while there was no significant difference in drinking group and Shanmai group Su the spleen (P0.05). (3) the onset time difference between the two groups had statistical significance, Dong's acupuncture medicine group onset time was significantly faster than that of the other two groups (P0.05), no statistically significant difference between drinking group and Shanmai group Su spleen (P0.05). (4) compared before and after the treatment, the TCM syndrome score differences were statistically significant (P0.05); group before and after treatment of TCM syndrome integral difference, Dong's acupuncture medicine group was significantly higher than the other two groups (P0.05), while there was no significant difference in drinking group and Shanmai group Su spleen (P0.05). (5) there was no significant difference in height, body mass and hemoglobin level after treatment (P0.05). Conclusion "Dong's acupuncture" treatment of infantile anorexia, can significantly improve the children's appetite, increase appetite, and more quickly is an advantage.
【作者单位】：复旦大学附属华山医院静安分院(董氏儿科);
【基金】：上海市基层名老中医专家传承研究工作室建设项目(JCZYGZS-021) 上海市静安区卫计委进一步加快中医药事业发展三年行动计划项目(JA2015-C002)
【分类号】：R246.4
【正文快照】： 厌食症是儿科临床上发病率较高的疾病,长期厌食会影响患儿的体格发育和免疫功能。国外文献报道本病在发育正常儿童中的发病率为25%~45%,在发育迟缓儿童中的发病率为80%以上[1]。国内文献报道上海市1~6岁儿童本病的发病率为39.7%[2];2012年的全国性调查研究显示,1~3岁儿童本病

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