四君子汤加味联合捏脊治疗小儿厌食症临床效果  

Clinical Effect of Modified Sijunzi Decoction Combined with Chiropractic in the Treatment of Infantile Anorexia

作　　者：柯旭 李妍珍 卢嘉惠 唐灿权 李丽华[1] KE Xu;LI Yanzhen;LU Jiahui;TANG Canquan;LI Lihua(South Sea District Maternal and Child Health Center of Foshan,Foshan 528000,China;不详)

机构地区：[1]佛山市南海区妇幼保健院,广东佛山528000

出　　处：《中外医学研究》2022年第6期140-143,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：佛山市科技创新项目自筹经费类科技计划项目(2020001005352)。

摘　　要：目的:探究四君子汤加味联合捏脊治疗小儿厌食症患者的效果。方法:选取2020年3月-2021年2月在佛山市南海区妇幼保健院就诊的78例小儿厌食症患者,按照随机数字表法将其分为对照组和治疗组,每组39例。对照组接受多酶片、葡萄糖酸锌口服溶液治疗,治疗组接受口服四君子汤加味联合捏脊治疗,比较两组治疗效果。结果:治疗组总有效率为97.44%,高于对照组的79.49%,差异有统计学意义(P<0.05)。治疗后,治疗组的血清锌浓度和唾液淀粉酶含量分别为(10.98±0.55)μmol/L、(22.77±2.25)U/L,均高于对照组的(9.20±0.44)μmol/L、(17.71±1.88)U/L,差异均有统计学意义(P<0.05)。治疗后,治疗组恶心呕吐、大便失调、烦躁易怒、神疲乏力、面色无华、食量减少分别为(0.66±0.11)、(0.70±0.12)、(0.69±0.10)、(0.68±0.09)、(0.55±0.08)、(0.48±0.05)分,均低于对照组的(1.44±0.17)、(1.50±0.18)、(1.49±0.16)、(1.50±0.13)、(1.11±0.10)、(1.33±0.11)分,差异均有统计学意义(P<0.05)。结论:四君子汤加味联合捏脊治疗小儿厌食症,可显著提高治疗效果,显著提高患儿的血锌值及唾液淀粉酶值,可广泛推广于临床。Objective:To explore the effect of Modified Sijunzi Decoction combined with chiropractic in the treatment of infantile anorexia.Method:A total of 78 infantile anorexia patients hospitalized in South Sea District Maternal and Child Health Center of Foshan from March 2020 to February 2021 were selected,they were divided into control group and treatment group according to random number table method,with 39 cases in each group.The control group received Multiple Enzyme Tablets,Zinc Gluconate Oral Solution treatment,the treatment group received oral Modified Sijunzi Decoction combined with chiropractic treatment,the treatment effect were compared between two groups.Result:The total effective rate of the treatment group was 97.44%,which was higher than 79.49% of the control group,the difference was statistically significant(P<0.05).After treatment,serum zinc concentration and salivary amylase content of the treatment group were(10.98±0.55)μmol/L and(22.77±2.25)U/L,respectively,which were higher than(9.20±0.44)μmol/L and(17.71±1.88)U/L of the control group,the differences were statistically significant(P<0.05).After treatment,nausea and vomiting,stool disorders,irritability,fatigue,complexion,and decreased food intake scores of the treatment group were(0.66±0.11),(0.70±0.12),(0.69±0.10),(0.68±0.09),(0.55±0.08),(0.48±0.05)points,respectively,which were lower than(1.44±0.17),(1.50±0.18),(1.49±0.16),(1.50±0.13),(1.11±0.10),(1.33±0.11)points of the control group,the differences were statistically significant(P<0.05).Conclusion:Modified Sijunzi Decoction Combined with chiropractic therapy can significantly improve the therapeutic effect of infantile anorexia,the blood zinc value and salivary amylase value of children,which can be widely used in clinic.

关 键 词：四君子汤加味 捏脊 小儿厌食症 

分 类 号：R272[医药卫生—中医儿科学]