铺灸八髎穴区治疗肾气不足型小儿遗尿临床研究  

Clinical Study on Treatment of Infantile Enuresis with Kidney Qi Deficiency Syndrome by Spreading Moxibustion at Baliao Acupoints Area

作　　者：李心沁 崔华峰[2] 徐呈超 刘勇[4] LI Xinqin;CUI Huafeng;XU Chengchao;LIU Yong(Shandong Vocational College of Special Education,Jinan 250002,China;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Shandong Provinicial Third Hospital,Jinan 250031,China;The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]山东特殊教育职业学院,山东济南250002 [2]山东中医药大学附属医院,山东济南250014 [3]山东省立第三医院,山东济南250031 [4]重庆医科大学附属第二医院,重庆400010

出　　处：《山东中医杂志》2022年第12期1309-1315,共7页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省中医药科技发展计划项目(编号:2017-017)。

摘　　要：目的:观察铺灸八髎穴区治疗肾气不足型小儿遗尿的临床疗效,并探讨其对患儿中医证候的影响。方法:将符合诊断标准的60例患儿按随机数字表法分为铺灸组与西药组各30例,铺灸组接受铺灸八髎穴区治疗,西药组采用口服醋酸去氨加压素片治疗,两组均以4周为1个疗程,连续治疗2个疗程。比较两组中医证候积分、临床疗效、不良反应及复发情况。结果:治疗后,两组中医证候积分较治疗前均显著降低(P<0.05),且铺灸组各项次要症状积分及次要症状总积分均低于西药组(P<0.05);铺灸组、西药组总有效率分别为86.21%和82.14%,两组临床疗效比较,差异无统计学意义(P>0.05);治疗结束3个月后,铺灸组、西药组复发率分别为10.34%、35.71%,两组复发率比较,差异有统计学意义(P<0.05);治疗期间,两组均未出现明显不良反应。结论:铺灸八髎穴区可有效治疗肾气不足型小儿遗尿,与口服醋酸去氨加压素片比较,该疗法在改善患儿次要症状、降低复发率方面具有一定优势。Objective:To observe the clinical curative efficacy of spreading moxibustion at Baliao acupoints area on infatile enuresis with kidney qi deficiency syndrome,and to explore its effect on traditional Chinese medicine(TCM)syndromes of the children.Methods:A total of 60 children who met the diagnostic criteria were divided into spreading moxibustion group and western medicine group by random number table method,with 30 cases in each group.The spreading moxibustion group was treated with spreading moxibustion at Baliao acupoints area,and the western medicine group was treated with oral desmopressin acetate tablets.Both the two groups were treated with 2 consecutive courses,4 weeks as a course of treatment.The TCM syndrome scores,clinical curative efficacy,adverse reactions and recurrence were compared between the two groups.Results:After treatment,the TCM syndrome scores in the two groups were significantly lower than those before treatment(P<0.05),and the scores of each secondary symptom and the total score of secondary symptoms in the spreading moxibustion group were lower than those in the western medication group(P<0.05).The total effective rate of the spreading moxibustion group was 86.21%and that in the western medicine group was 82.14%.The difference of the clinical curative efficacy between the two groups were not statistically significant(P>0.05).Three months after the treatment,the recurrence rate of the spreading moxibustion group was 10.34%and that of the western medicine group was 35.71%.The difference of the recurrence rate between the two groups was statistically significant(P<0.05).During the treatment,there were no obvious adverse reactions in the two groups.Conclusions:Spreading moxibustion at Baliao acupoints area is effective in the treatment of infantile enuresis with kidney qi deficiency syndrome.Compared with oral desmopressin acetate tablets,it has certain advantages in improving the secondary symptoms and reducing the recurrence rate.

关 键 词：铺灸 八髎穴 小儿遗尿 肾气不足 中医证候积分 复发率 醋酸去氨加压素片 

分 类 号：R246.4[医药卫生—针灸推拿学]