中药敷脐治疗小儿积滞乳食内积证50例临床观察  

Clinical observation on 50 cases of dyspepsia in children with internal retention of food syndrome treated by application on navel with Chinese materia medica

作　　者：邵罡 陶黎梅[1] SHAO Gang;TAO Limei(Department of Pediatrics,Changshu Municipal Hospital of TCM,Changshu,Jiangsu,215500,China)

机构地区：[1]常熟市中医院儿科,江苏常熟215500

出　　处：《中医儿科杂志》2020年第6期60-63,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察中药敷脐治疗小儿积滞乳食内积证的临床疗效。方法选取2019年5—10月在常熟市中医院儿科门诊治疗的100例积滞乳食内积证患儿,按随机数字表法分为对照组和治疗组,各50例。对照组口服王氏保赤丸,治疗组予中药敷脐,2组均7 d为1个疗程,连续治疗2个疗程后统计疗效。结果治疗前,2组中医证候积分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组中医证候积分均较同组治疗前显著降低,差异有统计学意义(P<0.01),且治疗组下降更显著(P<0.05)。治疗组总有效率为96.0%(48/50),显著高于对照组的90.0%(45/50),2组比较,差异有统计学意义(P<0.05)。对照组出现腹泻1例,治疗组未见明显不良反应。结论中药敷脐治疗小儿积滞乳食内积证,可显著改善患儿的临床症状,疗效确切,安全性高,值得临床推广应用。Objective To observe the clinical efficacy of application on navel with Chinese materia medica(CMM) in the treatment of dyspepsia in children with internal retention of food syndrome.Methods From May to October 2019,100 cases of dyspepsia in children with internal retention of food syndrome treated in outpatient service of pediatrics department in Changshu Municipal Hospital of TCM were divided into control group and treatment group according to random number table method,with 50 cases in each.The control group was given oral administration of Wangshi Baochi Wan(王氏保赤丸),while the treatment group was given application on navel with CMM.Seven days constituted 1 course of treatment for both groups,we kept statistics about the efficacy after 2 courses of continuous treatment.Results Before treatment,the difference was not statistically significant in TCM symptoms scores between the 2 groups(P>0.05), and they were comparable.After treatment,TCM symptoms scores of the 2 groups significantly decreased compared with the same group before treatment,and the difference was statistically significant(P<0.01),moreover,the treatment group decreased more significantly(P<0.05).The total effective rate of the treatment group was 96.0%(48/50),which was significantly higher than 90.0%(45/50) of the control group,and the difference was statistically significant between the 2 groups(P<0.05).One case of diarrhea occurred in the control group,no significant adverse reactions were found in the treatment group.Conclusion It can markedly improve the children patients’ clinical symptoms with definite efficacy and high safety to apply on navel with CMM in the treatment of dyspepsia in children with internal retention of food syndrome, which deserves clinical promotion and application.

关 键 词：小儿积滞 乳食内积证 中药 脐敷 临床观察 

分 类 号：R256.3[医药卫生—中医内科学]