过敏煎加味敷脐联合推拿治疗小儿迁延性慢性腹泻的临床研究  

Clinical study of umbilical therapy of modified Guomin Decoction combined with massage in the treatment of persistent and chronic diarrhea in children

作　　者：黄钦海 何德根[1] 张琳[1] 欧彩香[1] 陈慧[1] 郑志伟 HUANG Qin-hai;HE De-gen;ZHANG Lin(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400,China)

机构地区：[1]中山市中医院,528400

出　　处：《中国实用医药》2023年第6期126-128,共3页China Practical Medicine

基　　金：中山市医学科研项目(项目编号:2021A020492)。

摘　　要：目的 探讨小儿迁延性慢性腹泻患儿接受过敏煎加味敷脐联合推拿治疗的临床效果。方法 60例小儿迁延性慢性腹泻患儿,以随机数字表法分为对照组和治疗组,每组30例。对照组仅采用常规对症治疗,治疗组在对照组基础上加用过敏煎加味敷脐联合推拿治疗。对比两组临床症状改善时间、住院时间,治疗前后血清免疫学指标[免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)]。结果 治疗组患儿大便性状恢复正常时间、排便次数恢复正常时间、腹痛消失时间、发热消退时间、住院时间分别为(4.08±0.47)、(3.39±0.43)、(2.25±0.35)、(1.87±0.31)、(4.52±0.37)d,均显著短于对照组的(7.02±0.84)、(6.78±0.73)、(3.73±0.44)、(2.65±0.34)、(7.44±0.92)d,差异具有统计学意义(P<0.05)。治疗前,两组患儿的IgA、IgG、IgM水平对比差异无统计学意义(P>0.05);治疗后,治疗组患儿的IgA、IgG、IgM分别为(0.96±0.28)、(8.89±0.53)、(0.99±0.25)g/L,均显著高于对照组的(0.73±0.21)、(7.35±0.35)、(0.79±0.21)g/L,差异具有统计学意义(P<0.05)。结论 小儿迁延性慢性腹泻患儿接受过敏煎加味敷脐联合推拿治疗可有效改善患儿的临床症状,显著提高患儿免疫功能,临床应用价值显著。Objective To discuss the clinical effect of umbilical therapy of modified Guomin Decoction combined with massage in the treatment of persistent and chronic diarrhea in children.Methods A total of 60 children with persistent and chronic diarrhea were randomly divided into control group and treatment group,with 30 cases in each group.The control group was treated with conventional symptomatic treatment,and the treatment group was treated with umbilical therapy of modified Guomin Decoction and massage on the basis of control group.Both groups were compared in terms of improvement time of clinical symptoms,length of hospital stay,serum immunological indexes[immunoglobulin A(IgA),immunoglobulin G(IgG),immunoglobulin M(IgM)]before and after treatment.Results The time for the recovery of stool characteristics,the time for the recovery of defecation frequency,the time for the disappearance of abdominal pain,the fever subsidence time,and the length of hospital stay in the treatment group were(4.08±0.47),(3.39±0.43),(2.25±0.35),(1.87±0.31),and(4.52±0.37)d,which were significantly shorter than(7.02±0.84),(6.78±0.73),(3.73±0.44),(2.65±0.34),and(7.44±0.92)d in the control group,and the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the comparison of IgA,IgG and IgM levels between the two groups(P>0.05).After treatment,the IgA,IgG and IgM in the treatment group were(0.96±0.28),(8.89±0.53)and(0.99±0.25)g/L,which were significantly higher than(0.73±0.21),(7.35±0.35)and(0.79±0.21)g/L in the control group,and the differences were statistically significant(P<0.05).Conclusion Application of umbilical therapy of modified Guomin Decoction and massage for the treatment of children with persistent and chronic diarrhea can effectively improve the clinical symptoms of children and significantly improve their immune function,which is of significant clinical value.

关 键 词：小儿迁延性慢性腹泻 过敏煎加味敷脐 推拿 临床效果 

分 类 号：R725.7[医药卫生—儿科]