“董氏针药”治疗小儿厌食症的大样本随机对照临床研究  

Randomized controlled clinical study with large sample on Dong's acupuncture and medicine in treating infantile anorexia

作　　者：李战 倪菊秀[1] 

机构地区：[1]上海市静安区中心医院(复旦大学附属华山医院静安分院)董氏儿科,上海200040

出　　处：《上海中医药杂志》2017年第1期66-69,共4页Shanghai Journal of Traditional Chinese Medicine

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)

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(P<0.05),而苏脾饮组与山麦组差异无统计学意义(P>0.05)。(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(P<0.05),苏脾饮组与山麦组差异无统计学意义(P>0.05)。(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(P<0.05);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(P<0.05),而苏脾饮组与山麦组差异无统计学意义(P>0.05)。(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(P>0.05)。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。Objective To observe the clinical efficacy of Dong＇ s acupuncture and medicine in treating infantile anorexia. Methods 4 050 children patients with anorexia were randomly divided into the Supi Liquid group, Shanmai group and Dong＇ s acupuncture and medicine group, 1 350 cases in each group. The Supi Liquid group was treated with Dang＇ s Supi Liquid, the Shanmai group was treated with Shanmai Jianpi oral liquid, the Dang＇ s acupuncture and medicine group was treated with Dong＇ s Supi Liquid combined with acupuncture on Sifeng point （ EX-UE 10 ）. The clinical efficacy was observed, and the changes of onset time, TC M syndrome scores, body height, body weight and hemoglobin level were compared. Results （1） 489 cases fell off during the trial, and 3 561 eases completed the whole test, among which I 121 cases in the Supi Liquid group,l 117 cases in the Shanmai group and 1 323 cases in the Dong＇ s acupuncture and medicine group. （2） The clinical total effective rate of Supi Liquid group, Shanmai group and Dang＇ s acupuncture and medicine group were 72.26%, 70.01% and 90.02% respectively . The clinical efficacy of Dong＇ s acupuncture and medicine group was significantly better than that of the Supi Liquid and Shanmai group（ P 〈0.05 ）, there was no statistically significant difference on the clinical efficacy between the Supi Liquid group and Shanmai group（ P 〉0.05 ）. （3） In the onset time, there were statistically significant differences among the three groups ,the onset time in the Dong＇ s acupuncture and medicine group was significantly earlier than that in the other two groups（ P 〈0.05 ） , there was no statistically significant difference on the onset time between the Supi Liquid group and Shanmai group（ P 〉0.05 ）. （4） Comparison of treatment before and after within group, the difference of TCM syndrome scores in all groups were statistically significant （ P 〈0.05 ） ; comparison among groups,the difference of TCM syndrome scores between treatment bef

关 键 词：小儿厌食症 针药并用 苏脾饮 四缝穴 董廷瑶 

分 类 号：R246.4[医药卫生—针灸推拿学]