五积片治疗小儿疳证疳积型28例临床观察  

Clinical observation on 28 cases of children with malnutrition of dyspepsia type treated with Wuji Pian(五积片)

作　　者：褚会敏 刘茜茜[1] 王颖[1] CHU Huimin;LIU Qianqian;WANG Ying(Department of Pediatrics,Weifang Hospital of Traditional Chinese Medicine,Weifang,Shandong,261041,China)

机构地区：[1]潍坊市中医院儿科,山东潍坊261041

出　　处：《中医儿科杂志》2023年第6期73-76,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：潍坊市中医药科研项目(2020-4-114);山东省卫生健康委员会齐鲁医派中医学术流派传承工作室建设项目(鲁卫函[2021]45号)。

摘　　要：目的观察五积片治疗小儿疳证疳积型的临床疗效。方法选取2021年8月至2022年8月就诊于潍坊市中医院的疳证疳积型患儿60例,采用随机数字表法分为对照组和治疗组,各30例。治疗期间对照组脱落1例(疗效不满意),治疗组脱落2例(不能配合服药),最终对照组29例,治疗组28例。对照组予小儿消食片口服,治疗组予五积片口服。2组均2周为1个疗程,连续治疗2个疗程后统计疗效。结果治疗前,2组主症(体质量、面色、食欲、腹胀)、次症(精神、毛发、大便、睡眠)积分比较,差异无统计学意义(P>0.05),具有可比性。治疗后,对照组食欲、大便积分和主症总积分显著降低,与同组治疗前比较,差异有统计学意义(P<0.05);治疗组面色、食欲、腹胀、主症总积分和次症各项积分以及次症总积分显著降低,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组食欲、腹胀和精神、毛发积分以及次症总积分降低更显著,差异有统计学意义(P<0.05)。治疗组的总有效率为92.86%(26/28),显著高于对照组的82.76%(24/29),2组比较,差异有统计学意义(P<0.05)。结论五积片治疗小儿疳证疳积型疗效满意,可有效改善疳证的各种症状,值得临床推广应用。Objective To observe the clinical efficacy of Wuji Pian(五积片)in the treatment of children with malnutrition of dyspepsia type.Methods Sixty children with malnutrition of dyspepsia type who visited Weifang Hospital of Traditional Chinese Medicine from August 2021 to August 2022 were selected and divided into a control group and a treatment group in a random number table,with 30 cases in each group.During the treatment period,there was 1 case of detachment in the control group(unsatisfactory efficacy),2 cases in the treatment group(una⁃ble to cooperate with medication),and 29 cases in the final control group and 28 cases in the treatment group.The control group takes Xiao’er Xiaoshi Pian(小儿消食片)orally,while the treatment group takes Wuji Pian orally.Both groups were treated for one course of treatment for two weeks,and the efficacy was calculated after two consec⁃utive courses of treatment.Results Before treatment,there was no statistically significant difference(P>0.05)in the scores of the main symptoms(body mass,complexion,appetite,abdominal distension)and secondary symptoms(mental state,hair,stool,sleep)between the two groups,indicating comparability.After treatment,the control group showed a significant decrease in appetite,stool score,and total symptom score compared to the same group before treatment,with a statistically significant difference(P<0.05).The treatment group showed a significant decrease in complexion,appetite,abdominal distension,sub symptom scores,and total sub symptom scores compared to the same group before treatment,with a statistically significant difference(P<0.05).Additionally,the treatment group showed a more significant decrease in appetite,abdominal distension scores,and stool and sleep scores,with a statistically significant difference(P<0.05).The total effective rate of the treatment group was 92.86%(26/28),significantly higher than the control group’s 82.76%(24/29).The difference between the two groups was statistically significant(P<0.05).Conclusion The clinic

关 键 词：小儿疳证 疳积型 五积片 临床观察 

分 类 号：R272.4[医药卫生—中医儿科学]