香砂平胃散加减治疗小儿肠系膜淋巴结炎(乳食积滞证)的效果观察  

Effect of Xiangsha Pingwei Powder on infantile mesenteric lymphadenitis(syndrome of milk and food retention and stagnation)

作　　者：翟春桃 郭翠翠 Zhai Chuntao;Guo Cuicui(Department of Pediatric Internal Medicine,Luoyang Maternal and Child Health Hospital,Luoyang Henan 471000,China)

机构地区：[1]河南省洛阳市妇幼保健院儿内科,河南洛阳471000

出　　处：《保健医学研究与实践》2023年第5期69-72,共4页Health Medicine Research and Practice

基　　金：河南省中医药科学研究专项课题(2018ZY3027)。

摘　　要：目的探讨香砂平胃散加减治疗小儿肠系膜淋巴结炎(乳食积滞证)的效果,以期为临床治疗提供参考。方法本研究选取河南省洛阳市妇幼保健院2021年7月—2022年7月收治的90例肠系膜淋巴结炎患儿作为研究对象。采用随机数字表法将患儿分为对照组和研究组,每组45例。对照组患儿予以头孢克肟干混悬剂联合双歧杆菌三联活菌片口服治疗。研究组患儿予以香砂平胃散加减治疗。比较2组患儿治疗效果(治疗7d时)。比较2组患儿治疗前后(治疗后为治疗7d时)主症与次症中医评分、肠系膜淋巴结大小。治疗结束后1个月对患儿进行回访,了解患儿是否复发。结果研究组患儿治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,2组患儿腹痛、纳差、呕吐、腹胀、大便干结评分比较,差异无统计学意义(P>0.05)。治疗后,2组患儿腹痛、纳差、呕吐、腹胀、大便干结评分均低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0.05)。治疗前,2组患儿肠系膜淋巴结横径、纵径比较,差异无统计学意义(P>0.05)。治疗后,2组患儿肠系膜淋巴结横径、纵径均小于治疗前,且研究组小于对照组,差异均有统计学意义(P<0.05)。研究组患儿复发率低于对照组,差异有统计学意义(P<0.05)。结论香砂平胃散加减治疗小儿肠系膜淋巴结炎(乳食积滞证)的效果显著,能改善患者临床症状,促进肿大淋巴结恢复正常,且预后较好,值得临床推广应用。Objective This study aimed to investigate the effect of Xiangsha Pingwei Powder on infantile mesenteric lymphadenitis(syndrome of milk and food retention and stagnation)to provide evidence for clinical treatment.Methods Ninety children with mesenteric lymphadenitis admitted to Luoyang Maternal and Child Health Hospital from July 2021 to July 2022 were selected as the study participants.They were assigned to the control group and study group by random number table,with 45 cases in each group.Children in the control group received cefixime dry suspension combined with live combined Bifidobacterium and Lactobacillus tablets orally;children in the study group received Xiangsha Pingwei Powder.The therapeutic efficacy was compared between the two groups(7 days after treatment).The TCM scores of main symptoms and minor symptoms and the size of mesenteric lymph nodes were compared between the two groups before and after treatment(7 days after treatment).The children were followed up 1 month after the end of treatment to observe whether the children relapsed.Results The overall response rate in the study group was significantly higher than that in the control group(P<0.05).Before treatment,there was no significant difference in abdominal pain,anorexia,vomiting,abdominal distension,and dry stool scores between the two groups(P>0.05).After treatment,the scores of abdominal pain,anorexia,vomiting,abdominal distension,and dry stool in the two groups were significantly decreased,and the study group was significantly lower than the control group(P<0.05).Before treatment,there was no significant difference in the transverse and longitudinal diameters of mesenteric lymph nodes between the two groups(P>0.05).After treatment,the transverse and longitudinal diameters of mesenteric lymph nodes in the two groups were significantly decreased,and the study group was significantly smaller than the control group(P<0.05).The recurrence rate in the study group was significantly lower than that in the control group(P<0.05).Conclusion Xiangsh

关 键 词：香砂平胃散加减 小儿肠系膜淋巴结炎 乳食积滞证 

分 类 号：R272[医药卫生—中医儿科学]