中医辩证施膳治疗脾胃气虚型小儿厌食症临床效果比较  

Comparison of clinical effects of chinese medicine dialectical diet on children anorexia due to defi-ciency of spleen and stomach

作　　者：郑建华[1] 陈文滨[1] 王绮云 陈国华[1] ZHENG Jianhua;CHEN Wenbin;WANG Qiyun;CHEN Guohua(Huizhou First Hospital,Huizhou 516003,China;不详)

机构地区：[1]惠州市第一人民医院,广东惠州516003

出　　处：《现代医院》2020年第6期929-932,共4页Modern Hospitals

摘　　要：目的探讨中医辩证施膳治疗脾胃气虚型小儿厌食症的临床疗效。方法选取2017年6月-2018年6月收治的脾胃气虚型小儿厌食症患儿86例,随机分为对照组和药膳组。对照组给予常规治疗,药膳组在常规治疗的基础上给予药膳治疗。2周为一个疗程,2个疗程后,观察临床疗效、中医症候积分、血清食欲调节因子含量,并在治疗第3、6、9、12个月进行随访跟踪。结果治疗后,药膳组临床总有效率为78.57%,优于对照组59.52%(P<0.05);中医症候积分和主要症状症候积分的降低率,药膳组优于对照组(P<0.01)。与治疗前比较,神经肽Y(NYP)和促人生长激素腺释放肽(Ghrelin)水平显著升高,瘦素(Leptin)水平显著下降(P<0.05);与对照组比较,药膳组NYP和Ghrelin水平升高更为显著(P<0.05),Leptin水平下降更为显著(P<0.05);一年后随访,药膳组累积生存率为75.00%明显高于对照组的48.65%(P<0.05)。结论药膳食疗法治疗小儿厌食症,疗效确切,复发率低,值得应用推广。Objective To probe the clinical effect of traditional Chinese medicine dialectical therapy used on the Children anorexia with deficiency of spleen and stomach.Methods 86 patients with ideficiency of spleen and stomach were selected from June 2017 to June 2018 in the Hospital,randomly divided into control group and medicated diet group.Patients in the control group received conventional treatment,while the medicated diet group was given medicated diet,on the basis of routine treatment.One course lasts 2 weeks,Observe clinical curative effect,TCM syndrome score,and Serum appetite regu-lator content after two courses.At the same time,patients were followed up at the third,sixth,ninth and twelfth months dur-ing the treatment.Results After treatment,the lowest total effective rate of the medicated diet group was 78.57%,superior to the control group with the highest total effective rate of 59.52%(P<0.05).The reduction rate of TCM syndrome score and main symptom syndrome score was better in the medicated diet group than in the control group(P<0.01).Compared with before,NYP and ghrelin levels were significantly increased,and leptin levels were significantly decreased(P<0.05).Compared with the control group,NYP and ghrelin levels in the medicated diet group increased more significantly(P<0.05),while leptin levels decreased more significantly(P<0.05).After one year,the cumulative survival rate of 75.00%in the medicated diet group was significantly higher than that of 48.65%in the control group(P<0.05).Conclusion Medicated dietary therapy is effective in treating anorexia in children.

关 键 词：药膳 厌食症 小儿 脾胃气虚 临床疗效 

分 类 号：R272.5[医药卫生—中医儿科学] R725.7[医药卫生—中医学]