泻白散合痛泻要方加减治疗小儿顽固性厌食症的疗效观察  

Observation on the therapeutic effect of Xiebai powder with Tongxie Yaofang on intractable anorexia in children

作　　者：刘华 Liu Hua

机构地区：[1]梅州市第二中医医院,广东梅州514000

出　　处：《中医临床研究》2021年第27期126-128,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨对小儿顽固性厌食症患者采用泻白散合痛泻要方加减治疗后获得临床疗效。方法:将梅州市第二中医医院2016年7月-2019年5月门诊治疗的72例小儿顽固性厌食症患者数字奇偶法分组;治疗组(36例):选取泻白散合痛泻要方展开厌食症治疗;对照组(36例):选取多酶片展开厌食症治疗;就组间厌食症疗效数据、中医次证评分、中医主证评分数据及试验室指标展开对比。结果:治疗组小儿顽固性厌食症患者总有效率(94.44%,34/36)高于对照组(69.44%,25/36),差异有统计学意义(P<0.05);治疗前,治疗组小儿顽固性厌食症患者腹部不适、面色?白、出汗、精神不适、呕吐、大便不调症状同对照组比较差异无统计学意义(P>0.05);治疗后,治疗组腹部不适、面色?白、出汗、精神不适、呕吐、大便不调症状评分均低于对照组明显(P<0.05);治疗前,治疗组小儿顽固性厌食症患者食量评分以及食欲评分同对照组比较差异无统计学意义(P>0.05);治疗后,治疗组食量评分及食欲评分均低于对照组,差异有统计学意义(P<0.05);治疗前,治疗组小儿顽固性厌食症患者血白蛋白水平、红细胞水平、唾液淀粉酶水平及血锌水平同对照组比较差异无统计学意义(P>0.05);治疗后,治疗组血白蛋白水平、红细胞水平、唾液淀粉酶水平及血锌水平均高于对照组,差异有统计学意义(P<0.05)。结论:泻白散合痛泻要方加减方法有效应用,可使得小儿顽固性厌食症患者获得可靠疗效,最终实现小儿顽固性厌食症患者有效预后。Objective:To explore the clinical effect of Xiebai powder(泻白散)with Tongxie Yaofang(痛泻要方)on children with intractable anorexia.Methods:72 children with intractable anorexia treated in outpatient department of Meizhou Second Hospital of Traditional Chinese Medicine from July 2016 to May 2019 were divided into two groups by digital parity method.The treatment group(36 cases)received Xiebai powder and Tongxie Yaofang to treat anorexia.The control group(36 cases)received multi-enzyme tablets to treat anorexia.The curative effect data of anorexia,sub-symptom score of TCM,main symptom score data of TCM and laboratory indicators between groups were compared.Results:The curative effect data of children with intractable anorexia in the treatment group was 94.44%(34/36),which was higher than the control group(69.44%,25/36),which was significantly statistically different(P<0.05).Before treatment,the symptoms of abdominal discomfort,pale complexion,sweating,mental discomfort,vomiting and irregular stool in the treatment group were not significantly different from those in the control group(P>0.05).After treatment,the scores of abdominal discomfort,pale complexion,sweating,mental discomfort,vomiting and irregular stool in the treatment group were significantly lower than those in the control group(P<0.05).Before treatment,there was no significant difference in food intake score and appetite score between the treatment group and the control group(P>0.05).After treatment,the food intake score and appetite score in the treatment group were significantly lower than those in the control group(P<0.05).Before treatment,the levels of serum albumin,red blood cells,salivary amylase and blood zinc in the treatment group were not significantly different from those in the control group(P>0.05).After treatment,the levels of serum albumin,red blood cells,salivary amylase and blood zinc in the treatment group were significantly higher than those in the control group(P<0.05).Conclusion:The effective application of Xiebai powder c

关 键 词：泻白散合痛泻要方加减 小儿顽固性厌食症 临床疗效 

分 类 号：R272[医药卫生—中医儿科学]