自拟补肾止遗散穴位外敷与口服治疗儿童遗尿症的疗效对比

发布时间：2018-05-11 11:43

本文选题：中药穴位外敷与口服 + 儿童遗尿症　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:探索和分析中药穴位外敷与口服治疗下元虚寒型儿童遗尿的临床疗效。方法:选取我院儿科2014年2月到2015年7月的下元虚寒型遗尿症患儿60例,随机分为试验组和对照组,每组30人,试验组治疗以自拟补肾止遗散穴位外敷加口服,对照组治疗以单纯口服自拟补肾止遗散,治疗到达疗程后比较两组患者的治疗效果,随访并对比两组患者的复发率。结果:试验组和对照组治疗后第2周每周遗尿次数分别为:2.93±1.34、4.15±2.12;第4周每周遗尿次数分别为:0.64±1.68、2.13±4.87;第8周每周遗尿次数分别为:0.12±0.05、1.34±0.91。试验组与对照组治疗前证候积分分别为:7.89±2.28、7.68±2.68;治疗后证候积分分别为:2.45±1.78、3.93±2.03。试验组治疗总有效率为90.0%,对照组治疗总有效率为80.0%,试验组总有效率高于对照组(P0.05),试验组随访复发率为11.1%,对照组复发率为25%,试验组的复发率明显低于对照组(P0.05)。结论:自拟补肾止遗散穴位外敷与口服治疗小儿遗尿症的疗效显著,治疗后第2周、第4周、第8周遗尿次数明显减少,中医证候积分明显降低,总有效率高于对照组,随访复发率低,值得临床推广应用。
[Abstract]:Objective: to explore and analyze the clinical effect of acupoint external application and oral administration of traditional Chinese medicine in the treatment of infantile enuresis in children with deficiency cold type. Methods: from February 2014 to July 2015, 60 children with lower yuan deficiency cold type enuresis were randomly divided into experimental group and control group with 30 patients in each group. The control group was treated with simple oral tonifying kidney Zhiyi powder. The curative effect of the two groups was compared after the treatment and the recurrence rate of the two groups was compared. Results: the number of enuresis per week in the experimental group and the control group was 2.93 卤1.34.15 卤2.12 in the second week, 0.64 卤1.68 in the fourth week, 2.13 卤4.87 in the fourth week, and 0.12 卤0.051.34 卤0.91in the 8th week. Before treatment, the score of syndromes in the experimental group and the control group was 7.89 卤2.287.68 卤2.68, respectively, and the score of the syndrome after treatment was 2.45 卤1.78 and 3.93 卤2.03respectively. The total effective rate of treatment was 90.0g in the trial group and 80.0in the control group. The total effective rate of the test group was higher than that of the control group (P 0.05). The recurrence rate of the trial group was 11.1 and the recurrence rate of the control group was 25. The recurrence rate of the test group was significantly lower than that of the control group (P 0.05). Conclusion: the treatment of infantile enuresis by external application and oral administration of Bushen Zhiyi Powder has remarkable effect. The number of enuresis at the 2nd, 4th and 8th week after treatment is obviously reduced, the integral of TCM syndrome is obviously decreased, and the total effective rate is higher than that of the control group. The recurrence rate is low, which is worthy of clinical application.
【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】：2016
【分类号】：R272

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