敦煌灸法治疗小儿急性腹泻的效果研究  

Effect of Dunhuang moxibustion on acute diarrhea in children

作　　者：庄秋凤 梁宇 王军惠 ZHUANG Qiufeng;LIANG Yu;WANG Junhui(Department of Pediatrics,Huazhou People’s Hospital,Huazhou Guangdong 525100)

机构地区：[1]化州市人民医院儿科,广东化州525100

出　　处：《当代医药论丛》2022年第17期164-167,共4页

摘　　要：目的:探讨急性腹泻患儿采用敦煌灸法治疗的临床疗效。方法:收集化州市人民医院儿科2018年8月至2020年9月收治的急性腹泻患儿共104例作为研究对象。随机将其分为常模组和敦煌灸组,每组各有患儿52例。常模组患儿接受调整饮食、控制高温、预防脱水及电解质紊乱等一般治疗,并采用葡萄糖酸锌颗粒、蒙脱石散治疗,若患儿为感染性腹泻,则采用头孢克肟颗粒治疗。敦煌灸组患儿在此基础上采用敦煌灸法治疗。比较两组患儿的临床疗效、治疗前后的临床症状评分及血清炎性因子的水平。结果:常模组患儿和敦煌灸组患儿治疗的总有效率分别为73.08%和90.38%,组间相比差异有统计学意义(P<0.05)。治疗前,两组患儿的排便次数评分、大便性状评分、呕吐评分、腹痛评分、发热评分、食欲下降评分、神疲懒言评分相比,差异无统计学意义(P>0.05)。治疗后,敦煌灸组患儿的排便次数评分、大便性状评分、呕吐评分、腹痛评分、发热评分、食欲下降评分和神疲懒言评分均低于常模组患儿,差异有统计学意义(P<0.05)。治疗前,两组患儿血清肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-10(IL-10)的水平相比,差异无统计学意义(P>0.05)。治疗后,敦煌灸组患儿血清TNF-α、IL-6、IL-10的水平均低于常模组患儿,差异有统计学意义(P<0.05)。结论:在西医常规治疗的基础上,采用敦煌灸法治疗小儿急性腹泻的临床疗效显著,能有效改善患儿的症状,减轻其机体的炎症反应。Objective:To investigate the clinical efficacy of Dunhuang moxibustion in the treatment of children with acute diarrhea.Methods:A total of 104 children with acute diarrhea admitted to the Department of Pediatrics,Huazhou People’s Hospital from August 2018 to September 2020 were collected as the research objects.They were randomly divided into normal group and Dunhuang moxibustion group,with 52 cases in each group.The children in the norm group received general treatment such as adjusting diet,controlling high temperature,preventing dehydration and electrolyte disturbance,and were treated with zinc gluconate granules and montmorillonite powder.If the children had infectious diarrhea,they were treated with cefixime granules.Children in Dunhuang moxibustion group were treated with Dunhuang moxibustion on this basis.The clinical efficacy,clinical symptom score before and after treatment and serum levels of inflammatory factors were compared between the two groups.Results:The total effective rate of the normal group and Dunhuang moxibustion group were 73.08%and 90.38%,respectively,and the difference between the two groups was statistically significant(P<0.05).Before treatm ent,there were no s ignificant differences in defecation frequency s core,stool trait score,vomiting score,abdominal pain score,fever score,appetite loss score,and mental fatigue and lazy speech score between the two groups(P>0.05).After treatment,the defecation frequency score,stool trait score,vomiting score,abdominal pain score,fever score,appetite loss score and mental fatigue and laziness score of children in Dunhuang moxibustion group were lower than those in normal group,and the differences were statistically significant(P<0.05).Before treatment,there was no significant difference i n the serum levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and interleukin-10(IL-10)between the two groups(P>0.05).After treatment,the serum levels of TNF-α,IL-6 and IL-10 in the children in the Dunlam moxibustion group were lower than thos e in

关 键 词：敦煌灸法 小儿急性腹泻 临床症状评分 血清炎性因子 敦煌医学 

分 类 号：R725.7[医药卫生—儿科]